Active NPI
Sergio Stubrin, MD
- Gastroenterology Physician
- Pasadena, CA
National Provider Identifier
1477527695
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- A31985
- Practice address
- 50 Alessandro PL
410
Pasadena, CA 91105-3149 - Phone
- (626) 793-7114
- Fax
- (626) 793-7679
- NPI assigned
- Feb 14, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | A31985 | CA | Primary |
Addresses
Primary practice location
50 Alessandro PL
410
Pasadena, CA 91105-3149
Mailing address
50 Alessandro PL
Suite 410
Pasadena, CA 91105-3149
Phone (626) 793-7114
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)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Insite Digestive Health Care | Gastroenterology | Past | Accepting new patients |
| Memorial Medical Group Inc | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Gastroenterology Physician
- Glendale, CA
- NPI 1386911006
-
- Durable Medical Equipment & Medical Supplies
- Phoenix, AZ
- NPI 1255523643
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139875200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1330473600000",
"number": "1477527695",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "50 ALESSANDRO PL",
"address_2": "SUITE 410",
"city": "PASADENA",
"state": "CA",
"postal_code": "911053149",
"telephone_number": "626-793-7114",
"fax_number": "626-793-7679"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "50 ALESSANDRO PL",
"address_2": "410",
"city": "PASADENA",
"state": "CA",
"postal_code": "911053149",
"telephone_number": "626-793-7114",
"fax_number": "626-793-7679"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STUBRIN",
"first_name": "SERGIO",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-14",
"last_updated": "2012-02-29",
"status": "A"
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "CA",
"license": "A31985",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pasadena, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 29, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.