Active NPI
Lawrence I Rubin DPM, Inc
- Podiatrist
- Torrance, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- Legal business name
- LAWRENCE I RUBIN DPM, INC
- Practice address
- 20911 Earl St Ste 290
Torrance, CA 90503-4354 - Phone
- (310) 792-5670
- NPI assigned
- Jun 8, 2022
- Last updated
- Jun 8, 2022
- 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
- Kelly Yu, DPM
- Title
- President
- Phone
- (310) 323-2887
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 |
|---|---|---|---|---|
| Podiatrist | 213E00000X | NU | Primary |
Addresses
Primary practice location
20911 Earl St Ste 290
Torrance, CA 90503-4354
Mailing address
1045 W Redondo Beach Blvd Ste 106
Gardena, CA 90247-4276
Phone (310) 323-2887
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20220718001597 | CA | DME Supplier - Physician - Podiatry | 8325012099 | Practice locations: Torrance, CA |
Other NPIs with the same Medicare PAC ID 1
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
National Provider Directory
National Provider DirectoryLocations
1045 W Redondo Beach Blvd
Ste 106
Gardena, CA 90247
Phone (310) 323-2887
1045 W Redondo Beach Blvd
Ste 250
Gardena, CA 90247
Phone (310) 323-2887
Practitioners & 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.
-
- Foot & Ankle Surgery Podiatrist
- Gardena, CA
- NPI 1144458928
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1654646400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1654646400000",
"number": "1437888088",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1045 W REDONDO BEACH BLVD STE 106",
"city": "GARDENA",
"state": "CA",
"postal_code": "902474276",
"telephone_number": "310-323-2887"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20911 EARL ST STE 290",
"city": "TORRANCE",
"state": "CA",
"postal_code": "905034354",
"telephone_number": "310-792-5670"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LAWRENCE I RUBIN DPM, INC",
"organizational_subpart": "NO",
"enumeration_date": "2022-06-08",
"last_updated": "2022-06-08",
"certification_date": "2022-06-03",
"status": "A",
"authorized_official_last_name": "YU",
"authorized_official_first_name": "KELLY",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "310-323-2887",
"authorized_official_credential": "DPM"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Torrance, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.