Individual provider Active NPI

Taryn L Dubin, MD

  • Pediatrics Physician
  • South Miami, FL
National Provider Identifier
1770016826
Registry record updated Jan 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
152678 Issued in FL
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, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200608001707 CA Practitioner - Pediatric Medicine 0648509406 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
152678FLMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of California Irvine CurrentSince Jul 1, 2020 Accepting new patients
UC Regents Uci Dept of Pediatrics Pediatrics CurrentSince Jul 1, 2020 Accepting new patients
University of California Irvine CurrentSince Jul 1, 2020 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.

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

Verify at the official NPI Registry.