Active NPI
Allan H. Rabin, M.D., Inc.
- Psychiatry Physician
- San Diego, CA
National Provider Identifier
1063570844
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- G10534
- Legal business name
- ALLAN H. RABIN, M.D., INC.
- Practice address
- 4540 Kearny Villa Rd
#117
San Diego, CA 92123-1571 - Phone
- (858) 565-1167
- Fax
- (619) 284-5605
- NPI assigned
- Dec 5, 2006
- Last updated
- Jul 27, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Allan H. Rabin, M.D.
- Title
- President of Corporation
- Phone
- (858) 565-1167
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | G10534 | CA | Primary |
Addresses
Primary practice location
4540 Kearny Villa Rd
#117
San Diego, CA 92123-1571
Mailing address
PO Box 1770
La Mesa, CA 91944-1770
Phone (858) 565-1167
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
4540 Kearny Villa Rd
Ste 117
San Diego, CA 92123
Phone (858) 565-1167
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Child & Adolescent Psychiatry Physician
- San Diego, CA
- NPI 1871669374
-
- Psychiatry Physician
- La Jolla, CA
- NPI 1164598207
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165276800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1595808000000",
"number": "1063570844",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1770",
"city": "LA MESA",
"state": "CA",
"postal_code": "919441770",
"telephone_number": "858-565-1167",
"fax_number": "619-284-5605"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4540 KEARNY VILLA RD",
"address_2": "#117",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921231571",
"telephone_number": "858-565-1167",
"fax_number": "619-284-5605"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ALLAN H. RABIN, M.D., INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-12-05",
"last_updated": "2020-07-27",
"certification_date": "2020-07-27",
"status": "A",
"authorized_official_last_name": "RABIN",
"authorized_official_first_name": "ALLAN",
"authorized_official_middle_name": "H.",
"authorized_official_title_or_position": "PRESIDENT OF CORPORATION",
"authorized_official_telephone_number": "858-565-1167",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "CA",
"license": "G10534",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.