Organization Active NPI

Leon Lubianker MD Inc

  • Dermatology Physician
  • Gilroy, CA
National Provider Identifier
1417023615
Registry record updated Nov 30, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
Legal business name
LEON LUBIANKER MD INC
Practice address
9460 No Name Uno
Suite 210
Gilroy, CA 95020
Phone
(408) 847-0888
Fax
(408) 847-1257
NPI assigned
Nov 28, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2007

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

Authorized official

Name
Mr. Leon Lubianker, MD
Title
President
Phone
(408) 847-0888

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207N00000X Primary

Addresses

Primary practice location

9460 No Name Uno
Suite 210
Gilroy, CA 95020

Mailing address

9460 No Name Uno
Suite 210
Gilroy, CA 95020
Phone (408) 847-0888

Other identifiers 1

IdentifierTypeStateIssuer
00G336600MedicaidCA

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1164672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196380800000",
    "number": "1417023615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9460 NO NAME UNO",
            "address_2": "SUITE 210",
            "city": "GILROY",
            "state": "CA",
            "postal_code": "95020",
            "telephone_number": "408-847-0888",
            "fax_number": "408-847-1257"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9460 NO NAME UNO",
            "address_2": "SUITE 210",
            "city": "GILROY",
            "state": "CA",
            "postal_code": "95020",
            "telephone_number": "408-847-0888",
            "fax_number": "408-847-1257"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEON LUBIANKER MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-28",
        "last_updated": "2007-11-30",
        "status": "A",
        "authorized_official_last_name": "LUBIANKER",
        "authorized_official_first_name": "LEON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "408-847-0888",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G336600",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gilroy, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2007; 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.