Active NPI
Frederick J Karubian, M D a Professional Medical Corporation
- Nephrology Physician
- Santa Monica, CA
National Provider Identifier
1336368471
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- License
- A42957
- Legal business name
- FREDERICK J KARUBIAN, M D A PROFESSIONAL MEDICAL CORPORATION
- Practice address
- 2001 Santa Monica Blvd # 765-W
Santa Monica, CA 90404-2102 - Phone
- (310) 829-7584
- NPI assigned
- Apr 25, 2007
- Last updated
- Jun 29, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Frederick J Karubian, M.D.
- Title
- Ceo
- Phone
- (310) 829-7584
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nephrology Physician | 207RN0300X | A42957 | CA | Primary |
Addresses
Primary practice location
2001 Santa Monica Blvd # 765-W
Santa Monica, CA 90404-2102
Mailing address
PO Box 3353
Santa Monica, CA 90408-3353
Phone (310) 829-7584
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00A429570 | Medicaid | CA |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Nephrology Physician
- Santa Monica, CA
- NPI 1275613655
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177459200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1435536000000",
"number": "1336368471",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3353",
"city": "SANTA MONICA",
"state": "CA",
"postal_code": "904083353",
"telephone_number": "310-829-7584"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2001 SANTA MONICA BLVD # 765-W",
"city": "SANTA MONICA",
"state": "CA",
"postal_code": "904042102",
"telephone_number": "310-829-7584"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FREDERICK J KARUBIAN, M D A PROFESSIONAL MEDICAL CORPORATION",
"organizational_subpart": "NO",
"enumeration_date": "2007-04-25",
"last_updated": "2015-06-29",
"status": "A",
"authorized_official_last_name": "KARUBIAN",
"authorized_official_first_name": "FREDERICK",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "310-829-7584",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207RN0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Nephrology",
"state": "CA",
"license": "A42957",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00A429570",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Santa Monica, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.