Individual provider Active NPI

Stanley W. Rubin, M.D.

  • Hematology & Oncology Physician
  • La Mirada, CA
National Provider Identifier
1861433450
Registry record updated May 16, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
G28516 Issued in CA
Practice address
15651 Imperial Hwy
Suite # 105
La Mirada, CA 90638-1628
Phone
(563) 943-7219
Fax
(562) 943-2684
NPI assigned
Jun 8, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 16, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X G28516 CA Primary

Addresses

Primary practice location

15651 Imperial Hwy
Suite # 105
La Mirada, CA 90638-1628

Mailing address

PO Box 686
Attention: Maggie Noles Ms 6160
Artesia, CA 90702-0686
Phone (562) 741-4461

Other identifiers 4

IdentifierTypeStateIssuer
0G285160OtherBLUE SHIELD ID #
110060909OtherRAILROAD
110060909OtherCARAILROAD MEDICARE
014609OtherHEALTH NET ID #

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)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
G28516CAMDHematology & Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Rubin and McNamara MDS Inc Hematology & Oncology Past Accepting new patients
Caremore Medical Group Past Accepting new patients
Healthcare Partners Affiliates Medical Group Past Accepting new patients
Memorial Medical Group Inc Past Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1149724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1242432000000",
    "number": "1861433450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 686",
            "address_2": "ATTENTION: MAGGIE NOLES MS 6160",
            "city": "ARTESIA",
            "state": "CA",
            "postal_code": "907020686",
            "telephone_number": "562-741-4461",
            "fax_number": "562-741-4413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15651 IMPERIAL HWY",
            "address_2": "SUITE # 105",
            "city": "LA MIRADA",
            "state": "CA",
            "postal_code": "906381628",
            "telephone_number": "563-943-7219",
            "fax_number": "562-943-2684"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUBIN",
        "first_name": "STANLEY",
        "middle_name": "W.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-08",
        "last_updated": "2009-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "CA",
            "license": "G28516",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD ID #",
            "identifier": "0G285160",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD",
            "identifier": "110060909",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "110060909",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH NET ID #",
            "identifier": "014609",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in La Mirada, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2009; 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.