DR. JOHN LANCE RUBUSH


Address: 4077 Fifth Ave, San Diego, CA 92103-2105
Phone: 6192607000

DR. JOHN LANCE RUBUSH (NPI# 1457397358) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1457397358
Entity Type Individual
Full Name DR. JOHN LANCE RUBUSH
Credential M.D.
Practice Address 4077 Fifth Ave
San Diego
CA 92103-2105
Mailing Address Po Box 662110
Arcadia
CA 91066-2110
Practice Telephone 6192607000
Practice Fax Number 6192607050
Mailing Telephone 6264470296
Mailing Fax Number 6264476057
Enumeration Date 2006-06-21
Last Update Date 2008-06-27
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207P00000X Emergency Medicine C42567 CA Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
CA 00C425670 05

Office Location

Street Address 4077 FIFTH AVE
City SAN DIEGO
State CA
Zip Code 92103-2105

Providers in the same location

NPI Name Taxonomy Address Enumeration
1306808464 Eric Dahms Internal Medicine 4077 Fifth Ave, San Diego, CA 92103-2105 2006-04-04
1528672532 Orlando Manzano Nurse Practitioner 4077 Fifth Ave, San Diego, CA 92103-2105 2020-09-07
1518570167 Lindsay Gumm Social Worker 4077 Fifth Ave, San Diego, CA 92103-2105 2020-08-24
1821608811 Tammy V Pham, M.d., Apc Obstetrics & Gynecology 4077 Fifth Ave, San Diego, CA 92103-2105 2020-08-04
1891310538 Jordan Ray Noble Nurse Practitioner 4077 Fifth Ave, San Diego, CA 92103-2105 2020-06-09
1861014714 Merril Lindner Dietetic Technician, Registered 4077 Fifth Ave, San Diego, CA 92103-2105 2020-05-14
1215559042 Kevin Kavanagh Pharmacist 4077 Fifth Ave, San Diego, CA 92103-2105 2020-05-14
1942821525 Page Staley Hope Moore Occupational Therapist 4077 Fifth Ave, San Diego, CA 92103-2105 2020-05-05
1316568033 Brent Conrad Beckner Pharmacist 4077 Fifth Ave, San Diego, CA 92103-2105 2020-05-04
1306474101 Kate Hebert Pool Student in an Organized Health Care Education/Training Program 4077 Fifth Ave, San Diego, CA 92103-2105 2020-03-29
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1174140057 Carmel Agdeppa Acupuncturist Chiropractique, 813 West Washington St., San Diego, CA 92103 2020-06-26
1568082717 Salina Ann Bambic Social Worker 302 Washington Street Suite 420, San Diego, CA 92103 2020-04-17
1467099432 Lina Hong Behavior Technician 3731 6th Ave. Suite 100, San Diego, Ca 92103, San Diego, CA 92103 2019-12-09
1154964567 Rodger Stacy Questin, Psychologist P.C. Psychologist 440 Upas St Apt 402, San Diego, CA 92103 2019-10-18
1932740388 Grace Tong-ventura Pharmacist 200 W. Arbor Drive, #8765, Suite 1-317, San Diego, CA 92103 2019-10-07
1306490453 Genevieve Cheung Pharmacist 200 W Arbor Dr #8765, Department of Pharmacy, San Diego, CA 92103 2019-07-26
1801356837 Marika Doviak Acupuncturist 2370 Hickory St, San Diego, CA 92103 2019-03-25
1982185070 Tyler Lewis Roberts Counselor 4303 3rd Ave, San Diego, CA 92103 2018-08-27
1689151284 Tori Breanne Blackwell Occupational Therapist 3731-a 6th Avenue, San Diego, CA 92103 2018-07-26
1952892614 Pacific Bay Recovery Inc Substance Abuse Rehabilitation Facility 4095 Jackdaw St, San Diego, CA 92103 2018-05-29
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Taxonomy Information

Taxonomy Code 207P00000X
Grouping Allopathic & Osteopathic Physicians
Classification Emergency Medicine

Taxonomy Definition

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source]
- Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1962947317 Mark Olcott, M.d., Inc. Emergency Medicine 3609 Lotus Dr, San Diego, CA 92106-1136 2016-12-21
1578941019 Trisha Morshed Emergency Medicine 200 W Arbor Dr Mc867, San Diego, CA 92103 2015-05-18
1770995789 Lindsey Ball Emergency Medicine 4647 Zion Ave Ste 1116, San Diego, CA 92120-2507 2014-05-24
1679910558 Jeffrey Steven Kurz Emergency Medicine 3545 Reynard Way, San Diego, CA 92103-3808 2013-05-31
1265876981 Alexis Lenz Emergency Medicine Ucsd 200 W Arbor Dr, Mc8676, San Diego, CA 92103 2013-04-24
1376881078 Diane Kopeika Gottschalk Emergency Medicine 10221 Wateridge Cir, San Diego, CA 92121-2702 2013-01-30
1598000507 Julie Watkins-torry Emergency Medicine 200 W Arbor Dr # Mc8819, San Diego, CA 92103-1911 2012-12-02
1417212739 Rodney Sidransky Emergency Medicine 7841 Balboa Ave, Suite 202, San Diego, CA 92111-2311 2012-07-12
1598044117 Charlotte Anne Sadler Emergency Medicine 200 W Arbor Dr # 8925, San Diego, CA 92103-1911 2011-08-12
1003103235 Sarah Wilkinson Emergency Medicine 200 W Arbor Dr # 8819, San Diego, CA 92103-1911 2011-07-08
Find all providers in SAN DIEGO

Competitor

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City SAN DIEGO
Zip Code 92103

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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