Individual provider Active NPI

Gennady Rubinstein, M.D.

  • Dermatology Physician
  • Studio City, CA
National Provider Identifier
1720083744
Registry record updated Mar 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
A74924 Issued in CA
Practice address
3959 Laurel Canyon Blvd
Suite F
Studio City, CA 91604-4921
Phone
(818) 505-9300
Fax
(818) 505-9292
NPI assigned
Jun 16, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2008

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X A74924 CA Primary
Procedural Dermatology Physician 207NS0135X A74924 CA
Pediatric Dermatology Physician 207NP0225X A74924 CA
MOHS-Micrographic Surgery Physician 207ND0101X A74924 CA
Dermatopathology Physician 207ND0900X A74924 CA

Addresses

Primary practice location

3959 Laurel Canyon Blvd
Suite F
Studio City, CA 91604-4921

Mailing address

3959 Laurel Canyon Blvd
Suite F
Studio City, CA 91604-4921
Phone (818) 505-9300

Other identifiers 2

IdentifierTypeStateIssuer
A74924OtherCALICENSE NUMBER
00A749240MedicaidCA

Other names 1

  • Gene Rubinstein Professional name

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
I20050125001052 CA Practitioner - Dermatology 5991755175 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Boston University School of Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Golden State Dermatology Associates, Inc.Group PAC ID 1052418175, 118 clinicians

Practice addresses (Care Compare)

3959 Laurel Canyon Blvd
Suite F
Studio City, CA 91604-3711
Phone (818) 505-9300

Hospital & facility affiliations

  • Assisted Home Care Home health agency, Mission Hills, CA, CCN 557089
  • Bonum Home Health Services Home health agency, Burbank, CA, CCN 059076

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision55
Removal of skin lesions2593
Removal of skin cancer149
Removal or shaving of skin growth83
Skin biopsy526

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Golden State Dermatology Associates, Inc. Dermatology CurrentSince Jul 18, 2025 Accepting new patients
Golden State Dermatology Associates, Inc. CurrentSince Jul 18, 2025 Accepting new patients
Gennady Rubinstein MD Inc Dermatology CurrentSince Mar 1, 2003 Accepting new patients
Tarzana Medical Center LLC Past Accepting new patients

Locations

1200 Central Blvd
Ste D
Brentwood, CA 94513
Phone (925) 308-9510

16260 Ventura Blvd
Ste 300
Encino, CA 91436
Phone (818) 905-3880

135 Macaw Ln
#200
Simi Valley, CA 93065
Phone (805) 522-3300

135 Macaw Ln
Ste 200
Simi Valley, CA 93065
Phone (805) 522-3300

3959 Laurel Canyon Blvd
Studio City, CA 91604
Phone (818) 505-9300

3959 Laurel Canyon Blvd
Ste F
Studio City, CA 91604
Phone (818) 505-9300

77 Rolling Oaks Dr
Ste 207
Thousand Oaks, CA 91361
Phone (805) 496-9190

2802 Pacific Coast Hwy
Torrance, CA 90505
Phone (310) 274-5372

370 N Wiget Ln
Ste 250
Walnut Creek, CA 94598
Phone (925) 278-7592

Interoperability endpoints

  • Direct secure messaging: grubinstein@directaddress.net

Organizations & group practices 4

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": "1118880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1204848000000",
    "number": "1720083744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3959 LAUREL CANYON BLVD",
            "address_2": "SUITE F",
            "city": "STUDIO CITY",
            "state": "CA",
            "postal_code": "916044921",
            "telephone_number": "818-505-9300",
            "fax_number": "818-505-9292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3959 LAUREL CANYON BLVD",
            "address_2": "SUITE F",
            "city": "STUDIO CITY",
            "state": "CA",
            "postal_code": "916044921",
            "telephone_number": "818-505-9300",
            "fax_number": "818-505-9292"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUBINSTEIN",
        "first_name": "GENNADY",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-16",
        "last_updated": "2008-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "CA",
            "license": "A74924",
            "primary": true
        },
        {
            "code": "207NS0135X",
            "taxonomy_group": "",
            "desc": "Dermatology, Procedural Dermatology",
            "state": "CA",
            "license": "A74924",
            "primary": false
        },
        {
            "code": "207NP0225X",
            "taxonomy_group": "",
            "desc": "Dermatology, Pediatric Dermatology",
            "state": "CA",
            "license": "A74924",
            "primary": false
        },
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "CA",
            "license": "A74924",
            "primary": false
        },
        {
            "code": "207ND0900X",
            "taxonomy_group": "",
            "desc": "Dermatology, Dermatopathology",
            "state": "CA",
            "license": "A74924",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "A74924",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A749240",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GENE",
            "last_name": "RUBINSTEIN",
            "credential": "M.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Studio City, CA

Sources for this page

Verify at the official NPI Registry.