Individual provider Active NPI

Laura A Lubarsky, M.D

  • Pulmonary Disease Physician
  • San Luis Obispo, CA
National Provider Identifier
1639155468
Registry record updated Nov 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
G70164 Issued in CA
Practice address
1304 Ella St Ste a
San Luis Obispo, CA 93401-4165
Phone
(805) 549-9555
Fax
(805) 549-0444
NPI assigned
Dec 22, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X G40164 CA
Critical Care Medicine (Internal Medicine) Physician 207RC0200X G70164 CA
Pulmonary Disease Physician 207RP1001X G70164 CA Primary

Addresses

Primary practice location

1304 Ella St Ste a
San Luis Obispo, CA 93401-4165

Mailing address

1304 Ella St Ste a
San Luis Obispo, CA 93401-4165
Phone (805) 549-9555

Other practice location 1

1428 Phillips Ln
Suite 203
San Luis Obispo, CA 93401-2537
Phone (805) 543-4407

Other identifiers 1

IdentifierTypeStateIssuer
00G701640MedicaidCA

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
I20100323000271 CA Practitioner - Pulmonary DiseasePractitioner - Critical Care (Intensivists) 4880675180 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary DiseaseAlso: Critical Care (Intensivists)
Education
University of Southern California Keck School of Medicine, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Central Coast Chest Consultants, a Medical CorporationGroup PAC ID 6800877101, 8 clinicians

Practice addresses (Care Compare)

1428 Phillips LN
Suite 203
San Luis Obispo, CA 93401-2551
Phone (805) 543-4407

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
G40164CAMDInternal Medicine Physician
G70164CAMDCritical Care Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Central Coast Chest Consultants a Medical Corporation Internal Medicine CurrentSince Oct 1, 1998 Accepting new patients

Locations

1400 E Church St
Ofc
Santa Maria, CA 93454
Phone (805) 739-3112

1428 Phillips Ln
Ste 203
Sn Luis Obisp, CA 93401
Phone (805) 439-1797

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 1

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1135209600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698883200000",
    "number": "1639155468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1304 ELLA ST STE A",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934014165",
            "telephone_number": "805-549-9555",
            "fax_number": "805-549-0444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1304 ELLA ST STE A",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934014165",
            "telephone_number": "805-549-9555",
            "fax_number": "805-549-0444"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1428 Phillips Ln",
            "address_2": "Suite 203",
            "address_purpose": "LOCATION",
            "city": "San Luis Obispo",
            "state": "CA",
            "postal_code": "934012537",
            "country_code": "US",
            "telephone_number": "805-543-4407",
            "fax_number": "805-543-4587",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LUBARSKY",
        "first_name": "LAURA",
        "middle_name": "A",
        "name_prefix": "Ms.",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-22",
        "last_updated": "2023-11-02",
        "certification_date": "2023-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "G40164",
            "primary": false
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "CA",
            "license": "G70164",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "CA",
            "license": "G70164",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G701640",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Luis Obispo, CA

Sources for this page

Verify at the official NPI Registry.