Active NPI
Paul Paul Shubin Jr.
- Addiction (Substance Use Disorder) Counselor
- Colton, CA
National Provider Identifier
1841824661
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- A068310526
- Practice address
- 2275 E Cooley Dr
Colton, CA 92324-6324 - Phone
- (909) 370-1777
- Fax
- (909) 370-1776
- NPI assigned
- Mar 2, 2020
- Last updated
- Jul 8, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | A068310526 | CA | Primary |
Addresses
Primary practice location
2275 E Cooley Dr
Colton, CA 92324-6324
Mailing address
495 W Ramona Dr
Rialto, CA 92376-4967
Phone (909) 370-1777
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A068310526 | CA | MD | Addiction (Substance Use Disorder) Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| G & C Swan Inc | Past | Accepting new patients | |
| G & C Swan Inc | Past | Accepting new patients | |
| Mfi Recovery Center | Past | Accepting new patients |
Organizations & group practices 3
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.
-
dba New Creation Addiction Treatment Center
- Substance Abuse Rehabilitation Facility
- Claremont, CA
- NPI 1740569235
-
- Substance Abuse Rehabilitation Facility
- Riverside, CA
- NPI 1881059525
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1583107200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783468800000",
"number": "1841824661",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "495 W RAMONA DR",
"city": "RIALTO",
"state": "CA",
"postal_code": "923764967",
"telephone_number": "909-370-1777",
"fax_number": "909-370-1776"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2275 E COOLEY DR",
"city": "COLTON",
"state": "CA",
"postal_code": "923246324",
"telephone_number": "909-370-1777",
"fax_number": "909-370-1776"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHUBIN",
"first_name": "PAUL",
"middle_name": "PAUL",
"name_suffix": "Jr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-03-02",
"last_updated": "2026-07-08",
"certification_date": "2026-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "CA",
"license": "A068310526",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Colton, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.