Individual provider Active NPI

Jorge Dubin, MD

  • Psychiatry Physician
  • Cerritos, CA
National Provider Identifier
1497845614
Registry record updated May 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
A24464 Issued in CA
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

Updated by the provider on May 14, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
A24464OtherCACA 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100510000392 CA Practitioner - Psychiatry 7012045230 Reassigns benefits to 1 organization
Practice locations: Lakewood, CA

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

LicenseStateTypeSpecialty
24464CAMDClinical Social Worker
A24464CAMDChild & Adolescent Psychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mark David Levine, MD Burlingame PC Psychiatry CurrentSince Apr 16, 2021 Accepting new patients
Mark David Levine M.D. Professional Corporation Psychiatry CurrentSince Apr 16, 2021 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.

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

Verify at the official NPI Registry.