Individual provider Active NPI

Brian L. Dubin

  • Diagnostic Radiology Physician
  • Los Angeles, CA
National Provider Identifier
1316365935
Registry record updated Oct 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
A141120 Issued in CA
Practice address
757 Westwood PLZ Ste 1638
Los Angeles, CA 90095-3960
Phone
(310) 267-8796
Fax
(310) 267-2059
NPI assigned
Apr 1, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X A141120 CA Primary

Addresses

Primary practice location

757 Westwood PLZ Ste 1638
Los Angeles, CA 90095-3960

Mailing address

5767 W Century Blvd Suite 400
Los Angeles, CA 90095-5631
Phone (310) 301-8836

Other practice location 1

1245 16th St Ste 105
Santa Monica, CA 90404-1239
Phone (310) 301-6800

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
I20170425003152 CA Practitioner - Diagnostic Radiology 3577840792 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Northwestern University Feinberg Medical School, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Newport Harbor Radiology Associates Medical Group IncGroup PAC ID 1850285735, 69 clinicians
Newport Center Radiology Associates Medical Group IncGroup PAC ID 7810800166, 60 clinicians

Practice addresses (Care Compare)

1 Hoag Dr
Newport Beach, CA 92663-4162
Phone (949) 645-3534

360 San Miguel Dr
Suite 105And106
Newport Beach, CA 92660-7853
Phone (949) 365-3534

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
95.45 of 100Reported as group
Quality
100
Improvement activities
40
Cost
84.82

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A141120CAMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
County of Los Angeles CurrentSince Apr 15, 2017 Accepting new patients
Martin Luther King Jr Community Medical Foundation CurrentSince Jul 1, 2019 Accepting new patients
Martin Luther King Jr Community Medical Foundation CurrentSince Jul 1, 2019 Accepting new patients
Newport Center Radiology Associates Medical Group Inc Diagnostic Radiology CurrentSince Apr 7, 2020 Accepting new patients
Newport Harbor Radiology Associates Medical Group, Inc Diagnostic Radiology CurrentSince Jul 27, 2020 Accepting new patients
County of Los Angeles CurrentSince Apr 15, 2017 Accepting new patients
Regents Univ of Calif Los Angeles Past Accepting new patients

Locations

2215 W Rosecrans Ave
Ste 22
Compton, CA 90222
Phone (424) 529-6755

16250 Sand Canyon Ave
Irvine, CA 92618
Phone (855) 999-4641

16200 Sand Canyon Ave
Irvine, CA 92618
Phone (949) 753-2000

3877 Portola Pkwy
Irvine, CA 92602
Phone (949) 551-0720

16300 Sand Canyon Ave
Ste 301
Irvine, CA 92618
Phone (949) 453-1173

510 Superior Ave
Ste 200A
Newport Beach, CA 92663
Phone (949) 764-7363

360 San Miguel Dr
Ste 1
Newport Beach, CA 92660
Phone (949) 365-3534

1 Hoag Dr
Newport Beach, CA 92663
Phone (877) 742-4624

360 San Miguel Dr
Ste 105106
Newport Beach, CA 92660

360 San Miguel Dr
Ste 106
Newport Beach, CA 92660
Phone (949) 721-8191

360 San Miguel Dr
Ste 105
Newport Beach, CA 92660
Phone (949) 365-3534

Dept LA 21705
Pasadena, CA 91185

Dept LA 21555
Pasadena, CA 91185
Phone (949) 236-8620

14445 Olive View Dr
Sylmar, CA 91342
Phone (881) 836-4303

15000 Kensington Park Dr
Ste 150
Tustin, CA 92782
Phone (714) 477-8340

Organizations & group practices 7

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 7

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": "1396310400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571702400000",
    "number": "1316365935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5767 W CENTURY BLVD SUITE 400",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900955631",
            "telephone_number": "310-301-8836",
            "fax_number": "310-301-8751"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "757 WESTWOOD PLZ STE 1638",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900953960",
            "telephone_number": "310-267-8796",
            "fax_number": "310-267-2059"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1245 16th St Ste 105",
            "address_purpose": "LOCATION",
            "city": "Santa Monica",
            "state": "CA",
            "postal_code": "904041239",
            "country_code": "US",
            "telephone_number": "310-301-6800",
            "fax_number": "310-794-9035",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DUBIN",
        "first_name": "BRIAN",
        "middle_name": "L.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-04-01",
        "last_updated": "2019-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "A141120",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.