Active NPI
Gennady Rubinstein, M.D.
- Dermatology Physician
- Studio City, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- A74924
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| A74924 | Other | CA | LICENSE NUMBER |
| 00A749240 | Medicaid | CA |
Other names 1
- Gene Rubinstein
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
Enrollment records 1
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
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
- Bonum Home Health Services
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 55 |
| Removal of skin lesions | 2593 |
| Removal of skin cancer | 149 |
| Removal or shaving of skin growth | 83 |
| Skin biopsy | 526 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Golden State Dermatology Associates, Inc. | Dermatology | Current | Accepting new patients |
| Golden State Dermatology Associates, Inc. | Current | Accepting new patients | |
| Gennady Rubinstein MD Inc | Dermatology | Current | 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
- 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.
-
- Dermatology Physician
- Studio City, CA
- NPI 1437329273
-
- Dermatology Physician
- Walnut Creek, CA
- NPI 1700860871
-
- Ambulatory Surgical Clinic/Center
- Fresno, CA
- NPI 1235738576
-
- General Acute Care Hospital
- Tarzana, CA
- NPI 1821250762
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Mission Hills, CA
- NPI 1033156765
-
- Home Health Agency
- Thousand Oaks, CA
- NPI 1831141845
-
- Home Health Agency
- Burbank, CA
- NPI 1275739047
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.