Individual provider Active NPI

Brian E Dubow, M.D.

  • Procedural Dermatology Physician
  • Los Angeles, CA
National Provider Identifier
1225140569
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Procedural Dermatology PhysicianTaxonomy code 207NS0135X
License
G72505 Issued in CA
Practice address
8631 W 3Rd St
Suite 635 East
Los Angeles, CA 90048-5901
Phone
(310) 855-1160
Fax
(310) 657-7052
NPI assigned
Aug 31, 2006
Last updated
Sep 11, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X G72505 CA
MOHS-Micrographic Surgery Physician 207ND0101X G72505 CA
Dermatopathology Physician 207ND0900X G72505 CA
Procedural Dermatology Physician 207NS0135X G72505 CA Primary

Addresses

Primary practice location

8631 W 3Rd St
Suite 635 East
Los Angeles, CA 90048-5901

Mailing address

8631 W 3Rd St
Suite 635 East
Los Angeles, CA 90048-5901
Phone (310) 855-1160

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
I20111128000094 CA Practitioner - DermatologyPractitioner - Pathology 9335313576 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
DermatologyAlso: Pathology
Education
New York University School of Medicine, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

435 N Roxbury Dr
Suite 204
Beverly Hills, CA 90210-5004
Phone (310) 888-4070

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision49
Removal of skin lesions885
Removal of skin cancer231
Removal or shaving of skin growth60
Skin biopsy500

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G72505CAMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Brian E Dubow M D a Medical Corporation Mohs-Micrographic Surgery CurrentSince Aug 31, 2015 Accepting new patients
Goldman Dubow Medical Group Procedural Dermatology Past Accepting new patients
Harry Levitt Ronald Bronow Robert Leibowitz MD Inc. Dermatology Past Accepting new patients

Locations

435 N Roxbury Dr
Ste 204
Beverly Hills, CA 90210
Phone (310) 275-5136

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1225140569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8631 W 3RD ST",
            "address_2": "SUITE 635 EAST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900485901",
            "telephone_number": "310-855-1160",
            "fax_number": "310-657-7052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8631 W 3RD ST",
            "address_2": "SUITE 635 EAST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900485901",
            "telephone_number": "310-855-1160",
            "fax_number": "310-657-7052"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUBOW",
        "first_name": "BRIAN",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "CA",
            "license": "G72505",
            "primary": false
        },
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "CA",
            "license": "G72505",
            "primary": false
        },
        {
            "code": "207ND0900X",
            "taxonomy_group": "",
            "desc": "Dermatology, Dermatopathology",
            "state": "CA",
            "license": "G72505",
            "primary": false
        },
        {
            "code": "207NS0135X",
            "taxonomy_group": "",
            "desc": "Dermatology, Procedural Dermatology",
            "state": "CA",
            "license": "G72505",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.