NPIMap

Organization Active NPI

Gabriel Rubanenko, M.D. Inc

  • Orthopaedic Surgery Physician
  • Beverly Hills, CA
National Provider Identifier
1174783849
Registry record updated Jan 16, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
A39466 Issued in CA
Legal business name
GABRIEL RUBANENKO, M.D. INC
Practice address
9033 Wilshire Blvd
Suite 401
Beverly Hills, CA 90211-1837
Phone
(310) 274-5088
Fax
(310) 274-1040
NPI assigned
Jun 16, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2009

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

Authorized official

Name
Eta Khalfin
Title
M.D.
Phone
(310) 274-5088

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207X00000X A39466 CA Primary

Addresses

Primary practice location

9033 Wilshire Blvd
Suite 401
Beverly Hills, CA 90211-1837

Mailing address

9033 Wilshire Blvd
Suite 401
Beverly Hills, CA 90211-1837
Phone (310) 274-5088

National Provider Directory

National Provider Directory
Tax ID family
Gabriel Rubanenko MD in3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1213574400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1232064000000",
    "number": "1174783849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9033 WILSHIRE BLVD",
            "address_2": "SUITE 401",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902111837",
            "telephone_number": "310-274-5088",
            "fax_number": "310-274-1040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9033 WILSHIRE BLVD",
            "address_2": "SUITE 401",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902111837",
            "telephone_number": "310-274-5088",
            "fax_number": "310-274-1040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GABRIEL RUBANENKO, M.D. INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-16",
        "last_updated": "2009-01-16",
        "status": "A",
        "authorized_official_last_name": "KHALFIN",
        "authorized_official_first_name": "ETA",
        "authorized_official_title_or_position": "M.D.",
        "authorized_official_telephone_number": "310-274-5088"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "CA",
            "license": "A39466",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beverly Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2009; 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.