Active NPI
Taryn L Dubin, MD
- Pediatrics Physician
- South Miami, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 152678
- Practice address
- 7300 SW 62ND PL PH West5Th
South Miami, FL 33143-4800 - Phone
- (305) 661-1962
- NPI assigned
- Apr 5, 2017
- Last updated
- Jan 25, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | A158751 | CA | |
| Pediatrics Physician | 208000000X | 152678 | FL | Primary |
Addresses
Primary practice location
7300 SW 62ND PL PH West5Th
South Miami, FL 33143-4800
Mailing address
7300 SW 62ND PL PH West5Th
South Miami, FL 33143-4800
Phone (305) 661-1962
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 152678 | FL | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of California Irvine | Current | Accepting new patients | |
| UC Regents Uci Dept of Pediatrics | Pediatrics | Current | Accepting new patients |
| University of California Irvine | Current | Accepting new patients | |
| University of California Irvine | Past | Accepting new patients |
Locations
300 W Carl Karcher Way
Anaheim, CA 92801
Phone (657) 282-6356
101 The City Dr S
Orange, CA 92868
Phone (714) 456-6054
505 S Main St
Ste 525
Orange, CA 92868
Phone (714) 456-5631
200 S Manchester Ave
Ste 300
Orange, CA 92868
Phone (714) 424-9001
800 N Main St
Santa Ana, CA 92701
Phone (714) 456-6324
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Pediatrics Physician
- Orange, CA
- NPI 1235187311
-
dba UCI Family Health Center - Anaheim
- Federally Qualified Health Center (FQHC)
- Anaheim, CA
- NPI 1598790529
-
dba UCI Health - Irvine MC Outpatient Pharmacy
- Pharmacy
- Irvine, CA
- NPI 1669344339
-
dba Uci Health
- General Acute Care Hospital
- Orange, CA
- NPI 1689608150
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1491350400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1643068800000",
"number": "1770016826",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7300 SW 62ND PL PH WEST5TH",
"city": "SOUTH MIAMI",
"state": "FL",
"postal_code": "331434800",
"telephone_number": "305-661-1962"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7300 SW 62ND PL PH WEST5TH",
"city": "SOUTH MIAMI",
"state": "FL",
"postal_code": "331434800",
"telephone_number": "305-661-1962"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUBIN",
"first_name": "TARYN",
"middle_name": "L",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-04-05",
"last_updated": "2022-01-25",
"certification_date": "2022-01-25",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "CA",
"license": "A158751",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "FL",
"license": "152678",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in South Miami, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2022; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.