Active NPI
Jorge Dubin, MD
- Psychiatry Physician
- Cerritos, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- A24464
- Practice address
- 17871 Park Plaza Dr Ste 140
Cerritos, CA 90703-9500 - Phone
- (855) 501-1004
- NPI assigned
- Oct 16, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | A24464 | CA | Primary |
| Child & Adolescent Psychiatry Physician | 2084P0804X | A24464 | CA |
Addresses
Primary practice location
17871 Park Plaza Dr Ste 140
Cerritos, CA 90703-9500
Mailing address
3835 N Freeway Blvd Ste 100
Suite 285
Sacramento, CA 95834-1954
Other practice location 1
4010 Watson Plaza Dr
Suite 285
Lakewood, CA 90712-4037
Phone (562) 497-1505
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| A24464 | Other | CA | CA LICENSE NUMBER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- Other, 1962
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
17871 Park Plaza Dr
Suite 140
Cerritos, CA 90703-9500
Phone (916) 576-7900
4553 Glencoe Ave
Suite 315
Marina del Rey, CA 90292-7933
Phone (855) 501-1004
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 24464 | CA | MD | Clinical Social Worker |
| A24464 | CA | MD | Child & Adolescent Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mark David Levine, MD Burlingame PC | Psychiatry | Current | Accepting new patients |
| Mark David Levine M.D. Professional Corporation | Psychiatry | Current | Accepting new patients |
Locations
17871 Park Plaza Dr
Ste 140
Cerritos, CA 90703
Phone (661) 902-2127
4010 Watson Plaza Dr
Ste 285
Lakewood, CA 90712
Phone (562) 497-1505
4553 Glencoe Ave
Ste 315
Marina del Rey, CA 90292
3835 N Freeway Blvd
Ste 100
Sacramento, CA 95834
Phone (916) 576-7898
2001 Wilshire Blvd
Ste 320
Santa Monica, CA 90403
Phone (310) 566-2006
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
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.
-
dba Mindpath Health
- Psychiatry Physician
- Sacramento, CA
- NPI 1154697944
-
dba Community Psychiatry Associates
- Psychiatry Physician
- San Mateo, CA
- NPI 1770709263
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160956800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1778716800000",
"number": "1497845614",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3835 N FREEWAY BLVD STE 100",
"address_2": "SUITE 285",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958341954"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17871 PARK PLAZA DR STE 140",
"city": "CERRITOS",
"state": "CA",
"postal_code": "907039500",
"telephone_number": "855-501-1004"
}
],
"practiceLocations": [
{
"address_1": "4010 Watson Plaza Dr",
"address_2": "Suite 285",
"address_purpose": "LOCATION",
"city": "Lakewood",
"state": "CA",
"postal_code": "907124037",
"country_code": "US",
"telephone_number": "562-497-1505",
"fax_number": "562-497-1881",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DUBIN",
"first_name": "JORGE",
"name_prefix": "Mr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-16",
"last_updated": "2026-05-14",
"certification_date": "2026-05-14",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "CA",
"license": "A24464",
"primary": true
},
{
"code": "2084P0804X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
"state": "CA",
"license": "A24464",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CA LICENSE NUMBER",
"identifier": "A24464",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Cerritos, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.