Richard a Shubin, M.D., Inc.

Primary specialty

SpecialistTaxonomy code 174400000X

License

G50827 Issued in CA

Legal business name

RICHARD A SHUBIN, M.D., INC.

Practice address

1015 North First Ave
Suite a
Arcadia, CA 91006-7401

Phone

(626) 332-7090

Fax

(800) 924-7301

NPI assigned

May 24, 2007

Organization subpart

No

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

Authorized official

Name

Lynna Del Castillo

Title

Billing Administrator

Phone

(626) 332-7090

Specialties & licenses 1

Addresses

Other identifiers 3

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

{
    "created_epoch": "1179964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1403654400000",
    "number": "1801007968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1015 NORTH FIRST AVE",
            "address_2": "SUITE A",
            "city": "ARCADIA",
            "state": "CA",
            "postal_code": "910067401",
            "telephone_number": "626-332-7090",
            "fax_number": "800-924-7301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1015 NORTH FIRST AVE",
            "address_2": "SUITE A",
            "city": "ARCADIA",
            "state": "CA",
            "postal_code": "910067401",
            "telephone_number": "626-332-7090",
            "fax_number": "800-924-7301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHARD A SHUBIN, M.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-24",
        "last_updated": "2014-06-25",
        "status": "A",
        "authorized_official_last_name": "DEL CASTILLO",
        "authorized_official_first_name": "LYNNA",
        "authorized_official_title_or_position": "BILLING ADMINISTRATOR",
        "authorized_official_telephone_number": "626-332-7090"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "CA",
            "license": "G50827",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "HG50827A",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "HG50827",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G508270",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• All providers in Arcadia, CA
• Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2014; 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.