MR. JASON DOUGLAS RUBY (PA-C) – Medical Physician Assistant, NPI 1942573134

MR. JASON DOUGLAS RUBY (PA-C) is a healthcare provider. based in Oroville, California. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. PA22080 (CA). The NPI Number for MR. JASON DOUGLAS RUBY (PA-C) is 1942573134

Main info

Male
14 Years Of Experience
Accepts Medicare Assignment
Name
MR. JASON DOUGLAS RUBY (PA-C)
NPI
1942573134
Phone
(530) 533-8500
Address
2767 OLIVE HWY
Enumeration Date
17 February 2012
Last Update Date
17 February 2012

Doctor Profile

Medical School Name
STANFORD UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
5305328654
Graduation Year
2012 (14 years ago)
PAC ID
0345402616
Group Practice PAC ID
4082501192
Professional Enrollment ID
I20120502000511
Address ID
CA959666118OR2767X350X400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience42
Completeness75
Years active:14State licenses:1Digital endpointsOther names

10,570 PHYSICIAN ASSISTANT in CA

Provider Addresses for MR. JASON DOUGLAS RUBY (PA-C)

  • 2767 OLIVE HWY

    OROVILLE, CA 959666118

    Phone: (530) 533-8500

    Mailing address matches the actual address.

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: 2012-05-02

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
I20120502000511IPhysician AssistantCATBD

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 95966)

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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: 4082501192View full group profile
NameSpecialtyState
Internal Medicine, HospitalistCA
General SurgeryCA
Physician AssistantCA
O P H T H A L M O L O G YCA
General SurgeryCA
Family PracticeCA
G A S T R O E N T E R O L O G YCA
Internal MedicineNV
N E P H R O L O G YNY
Certified Registered Nurse Anesthetist (Crna)CA

Reviews

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Frequently asked questions

What unique ID ties claims to MR. JASON DOUGLAS RUBY (PA-C)?
NPI 1942573134 is assigned to MR. JASON DOUGLAS RUBY (PA-C) under the national enumeration system.
Is MR. JASON DOUGLAS RUBY (PA-C)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What kind of provider is MR. JASON DOUGLAS RUBY (PA-C)?
The page reflects Medical Physician Assistant for MR. JASON DOUGLAS RUBY (PA-C). Clinical services aligned with this taxonomy classification.
Does MR. JASON DOUGLAS RUBY (PA-C) practice in California?
You will see Oroville, California on file for MR. JASON DOUGLAS RUBY (PA-C) alongside any extra practice locations.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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