Organization Active NPI

Leon Lubianker MD Inc

  • Dermatology Physician
  • Los Gatos, CA
National Provider Identifier
1609960103
Registry record updated Nov 30, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
G33660 Issued in CA
Legal business name
LEON LUBIANKER MD INC
Practice address
14525 S Bascom Avenue
Los Gatos, CA 95032
Phone
(408) 356-8188
Fax
(408) 358-8388
NPI assigned
Oct 2, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2007

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

Authorized official

Name
Mr. Leon Lubianker, MD
Title
President
Phone
(408) 356-8188

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207N00000X G33660 CA Primary

Addresses

Primary practice location

14525 S Bascom Avenue
Los Gatos, CA 95032

Mailing address

14525 S Bascom Avenue
Los Gatos, CA 95032
Phone (408) 356-8188

National Provider Directory

National Provider Directory

Locations

14525 S Bascom Ave
Los Gatos, CA 95032
Phone (408) 356-8188

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196380800000",
    "number": "1609960103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14525 S BASCOM AVENUE",
            "city": "LOS GATOS",
            "state": "CA",
            "postal_code": "95032",
            "telephone_number": "408-356-8188",
            "fax_number": "408-358-8388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14525 S BASCOM AVENUE",
            "city": "LOS GATOS",
            "state": "CA",
            "postal_code": "95032",
            "telephone_number": "408-356-8188",
            "fax_number": "408-358-8388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEON LUBIANKER MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-02",
        "last_updated": "2007-11-30",
        "status": "A",
        "authorized_official_last_name": "LUBIANKER",
        "authorized_official_first_name": "LEON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "408-356-8188",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": "CA",
            "license": "G33660",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Gatos, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.