Gabriel Rubanenko Inc a Medical Corporation

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

A39466 Issued in CA

Legal business name

GABRIEL RUBANENKO INC A MEDICAL CORPORATION

Practice address

6200 Wilshire Blvd
Suite 910
Los Angeles, CA 90048-5801

Phone

(323) 965-5088

Fax

(310) 274-1040

NPI assigned

May 9, 2007

Organization subpart

No

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

Authorized official

Name

Yeta Khalfin

Title

Office Manager

Phone

(323) 965-5088

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Tax ID family

Gabriel Rubanenko MD in3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Gabriel Rubanenko, Inc., a Medical Corporation

  • Non-Pharmacy Dispensing Site
  • Los Angeles, CA
  • NPI 1306276993
  NPD tax ID
• Gabriel Rubanenko, M.D. Inc

  • Orthopaedic Surgery Physician
  • Beverly Hills, CA
  • NPI 1174783849
  NPD tax ID

Locations

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Gabriel Rubanenko, Inc., a Medical Corporation

  • Non-Pharmacy Dispensing Site
  • Los Angeles, CA
  • NPI 1306276993
  NPPES parent name

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Gabriel V Rubanenko, M.D.

  • Orthopaedic Surgery Physician
  • Los Angeles, CA
  • NPI 1194704643
  Medicare reassignment NPD
• James Reid, M.D.

  • Orthopaedic Surgery Physician
  • Beverly Hills, CA
  • NPI 1336151455
  NPD (past)

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

{
    "created_epoch": "1178668800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1267401600000",
    "number": "1689888968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6200 WILSHIRE BLVD",
            "address_2": "SUITE 908",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900485801",
            "telephone_number": "323-965-5088",
            "fax_number": "310-274-1040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6200 WILSHIRE BLVD",
            "address_2": "SUITE 910",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900485801",
            "telephone_number": "323-965-5088",
            "fax_number": "310-274-1040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GABRIEL RUBANENKO INC A MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-09",
        "last_updated": "2010-03-01",
        "status": "A",
        "authorized_official_last_name": "KHALFIN",
        "authorized_official_first_name": "YETA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "323-965-5088"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "CA",
            "license": "A39466",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE #",
            "identifier": "A39466",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A394660",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gabriel E Hunt Jr MD Inc a California Professional Medical Co (Gabriel E. Hunt Jr., M.D. a Medical Corporation)
• Gabriel G. Carabello, MD Inc
• Gabriel J Halperin D P M Inc
• Gabriel J. Halperin D.P.M., Inc.
• Gabriel Medical Center Inc
• Gabriel Rubanenko, Inc., a Medical Corporation
• Irene Gabriel-Thomas, DC
• Cesar Gabriel-Vazquez
• Abigail Gabriel
• Bo Gabriel, LMFT

• Orthopaedic Surgery Physician in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Orthopaedic Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.