Matthew Lublin MD Inc

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

A82116 Issued in CA

Legal business name

MATTHEW LUBLIN MD INC

Practice address

2001 Santa Monica Blvd
Suite 1170W
Santa Monica, CA 90404-2102

Phone

(310) 828-2212

NPI assigned

Dec 17, 2012

Organization subpart

No

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

Authorized official

Name

Ms. Rita Grigory

Title

Biller

Phone

(310) 739-1127

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Practitioners 2

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

• Matthew Alan Lublin, M.D.

  • Surgery Physician
  • Santa Monica, CA
  • NPI 1992741813
  Medicare reassignment NPD
• Charles Kenji Miyamoto, PA-C

  • Medical Physician Assistant
  • Orlando, FL
  • NPI 1487153078

  CA

  Medicare reassignment

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

{
    "created_epoch": "1355702400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598486400000",
    "number": "1730425844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 SANTA MONICA BLVD",
            "address_2": "SUITE 1170W",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904042102",
            "telephone_number": "310-828-2212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 SANTA MONICA BLVD",
            "address_2": "SUITE 1170W",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904042102",
            "telephone_number": "310-828-2212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MATTHEW LUBLIN MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-17",
        "last_updated": "2020-08-27",
        "certification_date": "2020-08-27",
        "status": "A",
        "authorized_official_last_name": "GRIGORY",
        "authorized_official_first_name": "RITA",
        "authorized_official_title_or_position": "BILLER",
        "authorized_official_telephone_number": "310-739-1127",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "CA",
            "license": "A82116",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "CB781A",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kazuko Traci Matsuda, M.D.
• Jon Stacey Matsunaga, M.D.
• Ian M Matsuura, M.D.
• Sandra Mattar, M.S./CCC-SLP
• Matthew Hart, M.D., Corporation
• Carmenia Matthews
• Jennifer Marie Matthews, LCSW
• Diana Matthiessen, ASW
• Kimberley Maugeri, DC, ATC
• Nathalie Maullin, M.D.

• Surgery Physician in Santa Monica, CA
• Providers in Santa Monica, CA by specialty
• Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2020; 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.