Individual provider Active NPI

John Rabin, M.D.

  • Psychiatry Physician
  • Santa Monica, CA
National Provider Identifier
1124185442
Registry record updated Oct 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
G83044 Issued in CA
Practice address
171 Pier Ave # 253
Santa Monica, CA 90405-5311
Phone
(310) 721-7547
Fax
(714) 229-5785
NPI assigned
Jan 3, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 14, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X G83044 CA Primary

Addresses

Primary practice location

171 Pier Ave # 253
Santa Monica, CA 90405-5311

Mailing address

11510 Imperial Hwy
Norwalk, CA 90650-2801
Phone (310) 721-7547

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
I20040304001230 CA Practitioner - Psychiatry 9830087600 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
University of California, San Francisco School of Medicine, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Oceanside Medical Group a Medical CorporationGroup PAC ID 9335311042, 18 clinicians

Practice addresses (Care Compare)

701 Santa Monica Blvd
Suite 230
Santa Monica, CA 90401-2625
Phone (310) 993-4103

Hospital & facility affiliations

  • L a Downtown Medical Center Hospital, Los Angeles, CA, CCN 050763
  • Southern California Hospital at Hollywood Hospital, Hollywood, CA, CCN 050135
  • Los Angeles Community Hospital Hospital, Los Angeles, CA, CCN 050663

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G83044CAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Oceanside Medical Group, a Medical Corporation Psychiatry CurrentSince Jun 1, 2019 Accepting new patients

Locations

1025 S Anaheim Blvd
Anaheim, CA 92805
Phone (714) 533-6220

320 Cattle Call Dr
Brawley, CA 92227
Phone (760) 344-5431

1100 W Morton Ave
Porterville, CA 93257
Phone (559) 782-1509

701 Santa Monica Blvd
Ste 230
Santa Monica, CA 90401
Phone (310) 993-4103

44280 Campanula Way
Temecula, CA 92592
Phone (951) 302-1122

867 E 11th St
Upland, CA 91786
Phone (909) 227-0750

Organizations & group practices 1

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 5

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": "1167782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602633600000",
    "number": "1124185442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11510 IMPERIAL HWY",
            "city": "NORWALK",
            "state": "CA",
            "postal_code": "906502801",
            "telephone_number": "310-721-7547",
            "fax_number": "805-494-8385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "171 PIER AVE # 253",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904055311",
            "telephone_number": "310-721-7547",
            "fax_number": "714-229-5785"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RABIN",
        "first_name": "JOHN",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-03",
        "last_updated": "2020-10-14",
        "certification_date": "2020-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "G83044",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Monica, CA

Sources for this page

Verify at the official NPI Registry.