Individual provider Active NPI

Donald William Luber, M.D.

  • Internal Medicine Physician
  • Tarzana, CA
National Provider Identifier
1356689665
Registry record updated Jan 21, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A19393 Issued in CA
Practice address
5343 Corbin Ave
Tarzana, CA 91356-2950
Phone
(818) 346-3123
Fax
(818) 712-0558
NPI assigned
Jan 21, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 21, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A19393 CA Primary

Addresses

Primary practice location

5343 Corbin Ave
Tarzana, CA 91356-2950

Mailing address

5343 Corbin Ave
Tarzana, CA 91356-2950
Phone (818) 346-3123

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A19393CAMDInternal Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1358726400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1358726400000",
    "number": "1356689665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5343 CORBIN AVE",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "913562950",
            "telephone_number": "818-346-3123",
            "fax_number": "818-712-0558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5343 CORBIN AVE",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "913562950",
            "telephone_number": "818-346-3123",
            "fax_number": "818-712-0558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUBER",
        "first_name": "DONALD",
        "middle_name": "WILLIAM",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-01-21",
        "last_updated": "2013-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A19393",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tarzana, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2013; 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.