Individual provider Active NPI

Mark Dubin, M.D.

  • Diagnostic Radiology Physician
  • Downey, CA
National Provider Identifier
1700843240
Registry record updated Aug 16, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
G67625 Issued in CA
Practice address
11500 Brookshire Ave
Downey, CA 90241-4917
Phone
(562) 904-5000
NPI assigned
Apr 27, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X G67625 CA Primary

Addresses

Primary practice location

11500 Brookshire Ave
Downey, CA 90241-4917

Mailing address

PO Box 190
Simi Valley, CA 93062-0190
Phone (805) 522-5940

Other identifiers 1

IdentifierTypeStateIssuer
00G676250MedicaidCA

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
I20110131000784 CA Practitioner - Diagnostic Radiology 7618052549 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of Chicago, Pritzker School of Medicine, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pih Health PhysiciansGroup PAC ID 8426951328, 616 clinicians
Downey Radiology AssociatesGroup PAC ID 6406802743, 2 clinicians
Lambert Radiology Medical Group IncGroup PAC ID 8224032271, 68 clinicians

Practice addresses (Care Compare)

10251 Artesia Blvd
Bellflower, CA 90706-6719
Phone (562) 867-8681

11500 Brookshire Ave
Downey, CA 90241-4917
Phone (310) 904-5400

12401 Washington Blvd
Whittier, CA 90602-1099
Phone (562) 698-0611

Hospital & facility affiliations

  • Pih Health Hospital-Whittier Hospital, Whittier, CA, CCN 050169
  • Pih Health Downey Hospital Hospital, Downey, CA, CCN 050393
  • Pih Health Good Samaritan Hospital Hospital, Los Angeles, CA, CCN 050471

Merit-based Incentive Payment System (MIPS)

Final score
92.22 of 100Reported as group
Quality
78.14
Improvement activities
40
Cost
80.82

Merit-based Incentive Payment System (MIPS)

Final score
78.61 of 100Reported as group
Quality
58.7
Improvement activities
40
Cost
75.08

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G67625CAMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pih Health Physicians Family Medicine Current Accepting new patients
Downey Radiology Associates Diagnostic Radiology CurrentSince Oct 1, 2000 Accepting new patients
Pih Health Physicians CurrentSince Apr 15, 2023 Accepting new patients
Pih Health Physicians Family Medicine CurrentSince Apr 21, 2025 Accepting new patients
Pih Health Physicians Family Medicine CurrentSince Apr 15, 2023 Accepting new patients
Lambert Radiology Medical Group, Inc Diagnostic Radiology CurrentSince Jan 1, 2017 Accepting new patients
United Medical Imaging Healthcare, Inc. Past Accepting new patients
Bright Medical Associates, Inc. Past Accepting new patients
Pih Health Good Samaritan Hospital Past Accepting new patients
Pih Health Whittier Hospital Past Accepting new patients
Pih Health Downey Hospital Past Accepting new patients

Locations

10251 Artesia Blvd
Bellflower, CA 90706
Phone (562) 229-9452

16510 Bloomfield Ave
Cerritos, CA 90703
Phone (562) 229-0902

11500 Brookshire Ave
Downey, CA 90241
Phone (562) 904-5000

12214 Lakewood Blvd
Ste 110
Downey, CA 90242
Phone (562) 862-2775

11411 Brookshire Ave
Ste 101
Downey, CA 90241
Phone (562) 869-9192

12675 La Mirada Blvd
Ste 201401
La Mirada, CA 90638
Phone (562) 903-7339

3851 Katella Ave
Ste 155
Los Alamitos, CA 90720
Phone (562) 344-1350

4476 Tweedy Blvd
South Gate, CA 90280
Phone (323) 563-9499

12401 Washington Blvd
#1182
Whittier, CA 90602
Phone (562) 698-0611

12401 Washington Blvd
Whittier, CA 90602
Phone (562) 698-0611

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Pih Health Downey HospitalDowney, CA, CCN 050393 Hospital Corporate Director Dec 16, 2022

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 11

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": "1146096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1187222400000",
    "number": "1700843240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 190",
            "city": "SIMI VALLEY",
            "state": "CA",
            "postal_code": "930620190",
            "telephone_number": "805-522-5940",
            "fax_number": "805-522-6401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11500 BROOKSHIRE AVE",
            "city": "DOWNEY",
            "state": "CA",
            "postal_code": "902414917",
            "telephone_number": "562-904-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUBIN",
        "first_name": "MARK",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-27",
        "last_updated": "2007-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "G67625",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G676250",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Downey, CA

Sources for this page

Verify at the official NPI Registry.