Individual provider Active NPI

David A Laub, M.D.

  • Dermatology Physician
  • Mill Valley, CA
National Provider Identifier
1013187764
Registry record updated Mar 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
G58416 Issued in CA
Practice address
591 Redwood Hwy
Suite 2210
Mill Valley, CA 94941-6001
Phone
(415) 381-6661
Fax
(415) 789-9882
NPI assigned
Mar 10, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X G58416 CA Primary

Addresses

Primary practice location

591 Redwood Hwy
Suite 2210
Mill Valley, CA 94941-6001

Mailing address

591 Redwood Hwy
Suite 2210
Mill Valley, CA 94941-6001
Phone (415) 381-6661

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080502000433 CA Practitioner - Dermatology 4082793955 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
University of California, San Diego School of Medicine, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

591 Redwood Hwy
Suite 2210
Mill Valley, CA 94941-6003

591 Redwood Hwy Frontage Rd
Mill Valley, CA 94941-6003
Phone (415) 381-6661

Hospital & facility affiliations

  • Marinhealth Medical Center Hospital, Greenbrae, CA, CCN 050360

Merit-based Incentive Payment System (MIPS)

Final score
84.05 of 100Reported as individual
Quality
71.37
Improvement activities
40
Cost
85.03

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision84
Removal of skin lesions2686
Skin biopsy679

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
G58416CAMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
David a Laub MD, a Professional Corporation Dermatology CurrentSince Feb 1, 2008 Accepting new patients
Marin General Hospital Past Accepting new patients
1125 Sir Francis Drake Boulevard Operating Company, LLC Past Accepting new patients

Locations

591 Redwood Hwy Frontage Rd
Ste 2210
Mill Valley, CA 94941
Phone (415) 381-6661

Organizations & group practices 3

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1205107200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1205712000000",
    "number": "1013187764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "591 REDWOOD HWY",
            "address_2": "SUITE 2210",
            "city": "MILL VALLEY",
            "state": "CA",
            "postal_code": "949416001",
            "telephone_number": "415-381-6661",
            "fax_number": "415-789-9882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "591 REDWOOD HWY",
            "address_2": "SUITE 2210",
            "city": "MILL VALLEY",
            "state": "CA",
            "postal_code": "949416001",
            "telephone_number": "415-381-6661",
            "fax_number": "415-789-9882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAUB",
        "first_name": "DAVID",
        "middle_name": "A",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-03-10",
        "last_updated": "2008-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "CA",
            "license": "G58416",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mill Valley, CA

Sources for this page

Verify at the official NPI Registry.