Lad E Rubaum, MD

Primary specialty

Otolaryngology PhysicianTaxonomy code 207Y00000X

License

00A307460 Issued in CA

Practice address

14860 Roscoe Blvd
No 305
Panorama City, CA 91402

Phone

(818) 901-1535

Fax

(818) 901-0046

NPI assigned

Sep 28, 2006

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Alan Shiener MD Inc.

  • Specialist
  • Sherman Oaks, CA
  • NPI 1821174210
  NPD (past)
• Simi San Fernando Valley Urology Associates

  • Specialist
  • Mission Hills, CA
  • NPI 1275633695
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1159401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1395705600000",
    "number": "1003907387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14860 ROSCOE BLVD",
            "address_2": "NO 305",
            "city": "PANORAMA CITY",
            "state": "CA",
            "postal_code": "91402",
            "telephone_number": "818-901-1535",
            "fax_number": "818-901-0046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14860 ROSCOE BLVD",
            "address_2": "NO 305",
            "city": "PANORAMA CITY",
            "state": "CA",
            "postal_code": "91402",
            "telephone_number": "818-901-1535",
            "fax_number": "818-901-0046"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUBAUM",
        "first_name": "LAD",
        "middle_name": "E",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-28",
        "last_updated": "2014-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "CA",
            "license": "00A307460",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A307461",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gabriel Rosenbloom
• Erlinda J Rosenthal, DMD
• Rosscoe Van Nuys Medical Clinic, Inc.
• Khodam Rostomian, MD
• Linda Rowe
• Alex Rubel
• Adrian S. Rubin Jr., MD
• Isaura Ruelas
• Elizabeth A. Rupp, MD
• Jane Ryang, PHARMD

• Otolaryngology Physician in Panorama City, CA
• Providers in Panorama City, CA by specialty
• Otolaryngology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.