Organization Active NPI

Van Nuys Orthopedics

  • Orthopaedic Surgery Physician
  • Van Nuys, CA
National Provider Identifier
1790050334
Registry record updated Mar 15, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
Legal business name
VAN NUYS ORTHOPEDICS
Practice address
14600 Sherman Way # 100a
Van Nuys, CA 91405-2283
Phone
(949) 863-0022
NPI assigned
Mar 15, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2012

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

Authorized official

Name
Gabriel Rubanenko, MD
Title
Head Doctor
Phone
(949) 863-0022

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207X00000X Primary

Addresses

Primary practice location

14600 Sherman Way # 100a
Van Nuys, CA 91405-2283

Mailing address

File 1403
Pasadena, CA 91199-1403
Phone (949) 863-0022

National Provider Directory

National Provider Directory

Locations

File 1403
Pasadena, CA 91199

NPI Registry JSON

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

{
    "created_epoch": "1331769600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1331769600000",
    "number": "1790050334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "FILE 1403",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911991403",
            "telephone_number": "949-863-0022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14600 SHERMAN WAY # 100A",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914052283",
            "telephone_number": "949-863-0022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VAN NUYS ORTHOPEDICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-15",
        "last_updated": "2012-03-15",
        "status": "A",
        "authorized_official_last_name": "RUBANENKO",
        "authorized_official_first_name": "GABRIEL",
        "authorized_official_title_or_position": "HEAD DOCTOR",
        "authorized_official_telephone_number": "949-863-0022",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Van Nuys, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.