Individual provider Active NPI

Lawrence R Rouben, M.D.

  • Critical Care Medicine (Internal Medicine) Physician
  • Menifee, CA
National Provider Identifier
1427003003
Registry record updated Oct 31, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Care Medicine (Internal Medicine) PhysicianTaxonomy code 207RC0200X
License
G73813 Issued in CA
Practice address
28400 McCall Blvd
Menifee, CA 92585-9658
Phone
(661) 432-3694
NPI assigned
May 23, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease Physician 207RP1001X G73813 CA
Critical Care Medicine (Internal Medicine) Physician 207RC0200X G73813 CA Primary

Addresses

Primary practice location

28400 McCall Blvd
Menifee, CA 92585-9658

Mailing address

3805 San Dimas St Ste B
Bakersfield, CA 93301-5725
Phone (803) 592-0105

Other practice location 1

3805 San Dimas St Ste B
Bakersfield, CA 93301
Phone (661) 326-9999

Other identifiers 14

IdentifierTypeStateIssuer
000000330391OtherKYBLUE SHIELD
000000330391OtherKSKY ACCESS
000000616427OtherKYANTHEM- NORTON INPATIENT SPECIALISTS
3728765000OtherKYPASSPORT ADVANTAGE- NORTON INPATIENT SPECIALISTS
000023036QOtherKYHUMANA- NORTON INPATIENT SPECIALISTS
200116640OtherKYMEDICAID INDIANA- NORTON INPATIENT SPECIALISTS
200116640OtherKYANTHEM INDIANA MEDICAID- NORTON INPATIENT SPECIALISTS
051953OtherSIHO
50001316MedicaidKY
64260706MedicaidKY
50025004OtherKYPASSPORT- NORTON INPATIENT SPECIALISTS
00533134OtherKYMEDICARE- NORTON INPATIENT SPECIALISTS
200116640AMedicaidIN
2442925000MedicaidKY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20130510000489 CA Practitioner - Internal MedicinePractitioner - Critical Care (Intensivists) 0446152490 Reassigns benefits to 2 organizations
I20150221000315 CA Practitioner - Critical Care (Intensivists)Practitioner - Pulmonary Disease 0446152490 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Critical Care (Intensivists)Also: Pulmonary Disease
Education
University of Louisville School of Medicine, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Innovative Medical Solutions Inc a Medical GroupGroup PAC ID 5294783080, 37 clinicians

Practice addresses (Care Compare)

14850 Roscoe Blvd
Panorama City, CA 91402-4618
Phone (310) 553-5203

8920 Wilshire Blvd
Suite 310
Beverly Hills, CA 90211-2003
Phone (310) 553-5203

Hospital & facility affiliations

  • Mission Community Hospital Hospital, Panorama City, CA, CCN 050704

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
R & N Gupta MD Professional Corporation CurrentSince Jun 18, 2018 Accepting new patients
OB-GYN Associates of Erie, PC Current Accepting new patients
Innovative Medical Solutions Inc a Medical Group Critical Care Medicine CurrentSince Apr 1, 2020 Accepting new patients
Laboratory Associates of Erie LLC Current Accepting new patients
St. John Critical Care Medical Group, Inc Critical Care Medicine CurrentSince Jul 1, 2013 Accepting new patients
Hany S. Aziz M.D., Inc Pulmonary Disease CurrentSince Apr 1, 2013 Accepting new patients
Pulmonary & Critical Care Consultants of Louisville Pulmonary Disease PastSince Jun 1, 2004 Accepting new patients
Bakersfield Memorial Hospital Past Accepting new patients
Sterling Critical Care Services of Colorado, LLC Critical Care Medicine Past Accepting new patients

Locations

3805 San Dimas St
Ste B
Bakersfield, CA 93301
Phone (661) 326-9999

3805 San Dimas St
Bakersfield, CA 93301
Phone (661) 324-7300

8920 Wilshire Blvd
Ste 310
Beverly Hills, CA 90211
Phone (310) 256-2426

2080 Century Park E
Ste 507
Los Angeles, CA 90067
Phone (310) 553-1200

14860 Roscoe Blvd
Ste 200
Panorama City, CA 91402
Phone (818) 830-7751

341 E Main St
Ste 100
San Jacinto, CA 92583
Phone (951) 654-5590

14850 Roscoe Blvd
Van Nuys, CA 91402
Phone (818) 787-2222

100 Peach St
Ste 300
Erie, PA 16507
Phone (814) 459-1851

Organizations & group practices 9

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 1

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": "1148342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572480000000",
    "number": "1427003003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3805 SAN DIMAS ST STE B",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933015725",
            "telephone_number": "803-592-0105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28400 MCCALL BLVD",
            "city": "MENIFEE",
            "state": "CA",
            "postal_code": "925859658",
            "telephone_number": "661-432-3694"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3805 San Dimas St Ste B",
            "address_purpose": "LOCATION",
            "city": "Bakersfield",
            "state": "CA",
            "postal_code": "93301",
            "country_code": "US",
            "telephone_number": "661-326-9999",
            "fax_number": "661-326-9999",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROUBEN",
        "first_name": "LAWRENCE",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-23",
        "last_updated": "2019-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "CA",
            "license": "G73813",
            "primary": false
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "CA",
            "license": "G73813",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "000000330391",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KY ACCESS",
            "identifier": "000000330391",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM- NORTON INPATIENT SPECIALISTS",
            "identifier": "000000616427",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PASSPORT ADVANTAGE- NORTON INPATIENT SPECIALISTS",
            "identifier": "3728765000",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HUMANA- NORTON INPATIENT SPECIALISTS",
            "identifier": "000023036Q",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID INDIANA- NORTON INPATIENT SPECIALISTS",
            "identifier": "200116640",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM INDIANA MEDICAID- NORTON INPATIENT SPECIALISTS",
            "identifier": "200116640",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SIHO",
            "identifier": "051953",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "50001316",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64260706",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PASSPORT- NORTON INPATIENT SPECIALISTS",
            "identifier": "50025004",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE- NORTON INPATIENT SPECIALISTS",
            "identifier": "00533134",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200116640A",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2442925000",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Menifee, CA

Sources for this page

Verify at the official NPI Registry.