Active NPI
Gabriel V Rubanenko, M.D.
- Orthopaedic Surgery Physician
- Los Angeles, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- A39466
- Practice address
- 6200 Wilshire Blvd
Suite 910
Los Angeles, CA 90048-5801 - Phone
- (323) 965-5088
- Fax
- (310) 274-1040
- NPI assigned
- Jan 12, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | A39466 | CA | Primary |
Addresses
Primary practice location
6200 Wilshire Blvd
Suite 910
Los Angeles, CA 90048-5801
Mailing address
6200 Wilshire Blvd
Suite 908
Los Angeles, CA 90048-5801
Phone (323) 965-5088
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00A394660 | Medicaid | CA |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Orthopedic Surgery
- Education
- Other, 1975
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
6200 Wilshire Blvd
Suite 908
Los Angeles, CA 90048-5810
Phone (323) 965-5088
Hospital & facility affiliations
- Helping Hands Home Health Best Care, Inc
- Cedars-Sinai Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A39466 | CA | MD | Orthopaedic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gabriel Rubanenko Inc a Medical Corporation | Orthopaedic Surgery | Current | Accepting new patients |
| Brotman Medical Center, Inc. | Past | Accepting new patients | |
| Cedars-Sinai Medical Center | Past | Accepting new patients | |
| Southern California Healthcare System, Inc | Past | Accepting new patients | |
| Gabriel Rubanenko, Inc., a Medical Corporation | Past | Accepting new patients | |
| Gabriel Rubanenko, M.D. Inc | Orthopaedic Surgery | Past | Accepting new patients |
Locations
6200 Wilshire Blvd
Ste 910
Los Angeles, CA 90048
Phone (323) 933-3434
6200 Wilshire Blvd
Ste 908
Los Angeles, CA 90048
Phone (323) 655-3933
15165 Ventura Blvd
Ste 300330
Sherman Oaks, CA 91403
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 and National Provider Directory roles.
-
- Orthopaedic Surgery Physician
- Los Angeles, CA
- NPI 1689888968
-
- Non-Pharmacy Dispensing Site
- Los Angeles, CA
- NPI 1306276993
-
- Skilled Nursing Facility
- Culver City, CA
- NPI 1518997733
-
- General Acute Care Hospital
- Los Angeles, CA
- NPI 1639172372
-
- Orthopaedic Surgery Physician
- Beverly Hills, CA
- NPI 1174783849
-
- Psychiatric Hospital Unit
- Culver City, CA
- NPI 1487905725
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Los Angeles, CA
- NPI 1639172372
-
- General Acute Care Hospital
- West Hollywood, CA
- NPI 1891940326
-
- Home Health Agency
- Van Nuys, CA
- NPI 1558977215
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1137024000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1267401600000",
"number": "1194704643",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6200 WILSHIRE BLVD",
"address_2": "SUITE 908",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900485801",
"telephone_number": "323-965-5088",
"fax_number": "310-274-1040"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6200 WILSHIRE BLVD",
"address_2": "SUITE 910",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900485801",
"telephone_number": "323-965-5088",
"fax_number": "310-274-1040"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUBANENKO",
"first_name": "GABRIEL",
"middle_name": "V",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-12",
"last_updated": "2010-03-01",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "CA",
"license": "A39466",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00A394660",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.