Active NPI
Stanley W. Rubin, M.D.
- Hematology & Oncology Physician
- La Mirada, CA
National Provider Identifier
1861433450
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hematology & Oncology Physician
- License
- G28516
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0G285160 | Other | BLUE SHIELD ID # | |
| 110060909 | Other | RAILROAD | |
| 110060909 | Other | CA | RAILROAD MEDICARE |
| 014609 | Other | HEALTH 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
| License | State | Type | Specialty |
|---|---|---|---|
| G28516 | CA | MD | Hematology & Oncology Physician |
Practice roles
| Organization | Specialty | Status | New 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.
-
- Hematology & Oncology Physician
- La Mirada, CA
- NPI 1659328219
-
- Physical Medicine & Rehabilitation Physician
- Cerritos, CA
- NPI 1770656829
-
- Internal Medicine Physician
- Los Angeles, CA
- NPI 1659312593
-
- Durable Medical Equipment & Medical Supplies
- Phoenix, AZ
- NPI 1255523643
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.