Individual provider Active NPI

Joshua Paul Dubansky, M.D.

  • Emergency Medicine Physician
  • Reno, NV
National Provider Identifier
1053612168
Registry record updated Nov 20, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
15116 Issued in NV
Practice address
1155 Mill St
Mail Code Z-11
Reno, NV 89502-1576
Phone
(775) 324-4040
NPI assigned
Nov 4, 2010
Last updated
Nov 20, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 15116 NV Primary
Emergency Medicine Physician 207P00000X A118968 CA

Addresses

Primary practice location

1155 Mill St
Mail Code Z-11
Reno, NV 89502-1576

Mailing address

1155 Mill St
Mail Code Z-11
Reno, NV 89502-1576
Phone (510) 543-7053

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, NV2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20140109000006 CA Practitioner - Emergency Medicine 9537397088 Reassigns benefits to 2 organizations
I20140722001958 NV Practitioner - Emergency Medicine 9537397088 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
University of Maryland School of Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Brown Calvanese Cameron LTDGroup PAC ID 3577468347, 43 clinicians

Practice addresses (Care Compare)

1155 Mill St
MCZ 11
Reno, NV 89502-1576
Phone (775) 324-4040

2104 N Village Dr
Suite L
Truckee, CA 96161-4312
Phone (530) 582-6594

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A118968CAMDEmergency Medicine Physician
15116NVMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cep America - California Emergency Medicine Current Accepting new patients
California Emergency Physicians Medical Group, a Professional Corp Emergency Medicine CurrentSince Nov 1, 2014 Accepting new patients
California Emergency Physicians Medical Group a Professional Corp CurrentSince Nov 1, 2014 Accepting new patients
Brown, Calvanese, Cameron LTD Emergency Medicine CurrentSince Aug 1, 2014 Accepting new patients
Cep America - California Emergency Medicine CurrentSince Nov 1, 2013 Accepting new patients
Cep America-California Emergency Medicine CurrentSince Nov 1, 2013 Accepting new patients

Locations

2755 Herndon Ave
Clovis, CA 93611
Phone (559) 323-4000

2100 Powell St
Ste 920
Emeryville, CA 94608
Phone (510) 350-2698

115 Mall Dr
Hanford, CA 93230
Phone (559) 537-0550

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 900-3125

4445 Magnolia Ave
Riverside, CA 92501
Phone (800) 498-7156

10121 Pine Ave
Truckee, CA 96161
Phone (530) 582-3220

2104 N Village Dr
Ste L
Truckee, CA 96161
Phone (530) 582-6594

1155 Mill St
Reno, NV 89502
Phone (775) 982-7878

1155 Mill St
#11
Reno, NV 89502
Phone (775) 324-4040

1155 Mill St
#Z11
Reno, NV 89502
Phone (775) 324-4040

2375 E Prater Way
Sparks, NV 89434
Phone (775) 331-7000

Organizations & group practices 6

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

Hospital & facility affiliations 3

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": "1288828800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1416441600000",
    "number": "1053612168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1155 MILL ST",
            "address_2": "MAIL CODE Z-11",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895021576",
            "telephone_number": "510-543-7053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1155 MILL ST",
            "address_2": "MAIL CODE Z-11",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895021576",
            "telephone_number": "775-324-4040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUBANSKY",
        "first_name": "JOSHUA",
        "middle_name": "PAUL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-11-04",
        "last_updated": "2014-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NV",
            "license": "15116",
            "primary": true
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CA",
            "license": "A118968",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Reno, NV

Sources for this page

Verify at the official NPI Registry.