RUBEN VARGHESE – Sports Medicine (Family Medicine) Physician, NPI 1265012769

RUBEN VARGHESE is a healthcare provider. based in Torrance, California. specializing in FAMILY PRACTICE, SPORTS MEDICINE. They hold a License No. 20A22938 (CA). The NPI Number for RUBEN VARGHESE is 1265012769

Main info

Male
5 Years Of Experience
Accepts Medicare Assignment
Name
RUBEN VARGHESE
NPI
1265012769
Phone
(310) 418-5930
Address
23326 HAWTHORNE BLVD STE 200
Enumeration Date
9 April 2021
Last Update Date
10 July 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3109449344
Graduation Year
2021 (5 years ago)
PAC ID
2365972049
Group Practice PAC ID
1355302134
Professional Enrollment ID
I20250819001848
Address ID
CA905053950TO3640XBLVD301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience44
Completeness85
Years active:5State licenses:1Digital endpointsOther names

13,194 FAMILY PRACTICE in CA

Provider Addresses for RUBEN VARGHESE

  • 23326 HAWTHORNE BLVD STE 200

    TORRANCE, CA 905053756

    Phone: (310) 418-5930

    Type: Location

  • 1800 N CALIFORNIA ST

    STOCKTON, CA 952046019

    Phone:

    Type: Mailing

  • 1800 N California St

    Stockton, CA 952046019

    Phone: (209) 547-7143

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-08-19

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20250819001848IFamily PracticeCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 90505)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1355302134View full group profile
NameSpecialtyState
Hospitalist, Internal MedicineCA
-CA
O T O L A R Y N G O L O G YCA
-CA
Diagnostic RadiologyCA
Hospitalist, Internal MedicineCA
Emergency MedicineCA
Family PracticeCA
-TX
Endocrinology, Internal MedicineCA

Reviews

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Frequently asked questions

Does RUBEN VARGHESE have a public NPI I can cite?
Public records show RUBEN VARGHESE under NPI 1265012769.
Should I treat RUBEN VARGHESE as an active provider?
Patients and plans typically see RUBEN VARGHESE as active in the national extract.
What services align with RUBEN VARGHESE's listing?
RUBEN VARGHESE's public classification highlights Sports Medicine (Family Medicine) Physician. Clinical services aligned with this taxonomy classification.
Can patients visit RUBEN VARGHESE in Torrance, California?
For routing, start with Torrance, California for RUBEN VARGHESE, then verify phone and hours locally.
Who maintains RUBEN VARGHESE's record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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