Individual provider Active NPI

Karen Lynn Wrubel, DPM

  • Foot Surgery Podiatrist
  • Hawthorne, CA
National Provider Identifier
1982654307
Registry record updated May 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot Surgery PodiatristTaxonomy code 213ES0131X
License
E3328 Issued in CA
Practice address
13624 Hawthorne Blvd
Suite 206
Hawthorne, CA 90250-5818
Phone
(310) 675-0900
Fax
(310) 675-0904
NPI assigned
May 10, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 26, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot Surgery Podiatrist 213ES0131X E3328 CA Primary

Addresses

Primary practice location

13624 Hawthorne Blvd
Suite 206
Hawthorne, CA 90250-5818

Mailing address

13624 Hawthorne Blvd
Suite 206
Hawthorne, CA 90250-5818
Phone (310) 675-0900

Other identifiers 2

IdentifierTypeStateIssuer
E22380MedicaidCA
GRE001780MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040323001718 CA Practitioner - Podiatry 7113818964 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
William M. Scholl College of Podiatric Medicine, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Far West Podiatric Medical GroupGroup PAC ID 5799168654, 3 clinicians

Practice addresses (Care Compare)

13624 Hawthorne Blvd
Suite 206
Hawthorne, CA 90250-5818
Phone (310) 675-0900

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue25
Removal of skin lesions16
Removal of nail tissue139
Removal or shaving of skin growth119

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
E3328CAMDFoot Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Karen Wrubel DPM Foot Surgery CurrentSince Apr 1, 1988 Accepting new patients
Vascular Interventional Group, Inc. CurrentSince Nov 1, 2019 Accepting new patients
Far West Podiatric Medical Group Foot Surgery CurrentSince Oct 1, 2003 Accepting new patients
Providence Health System Southern California Past Accepting new patients
Prime Healthcare Centinela, LLC Past Accepting new patients
Gardena Hospital LP Past Accepting new patients

Locations

13624 Hawthorne Blvd
Ste 206
Hawthorne, CA 90250
Phone (310) 675-0900

6601 Rugby Ave
Ste 100
Huntington Park, CA 90255
Phone (323) 749-9770

18375 Ventura Blvd
Tarzana, CA 91356
Phone (818) 422-5322

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1147219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653523200000",
    "number": "1982654307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13624 HAWTHORNE BLVD",
            "address_2": "SUITE 206",
            "city": "HAWTHORNE",
            "state": "CA",
            "postal_code": "902505818",
            "telephone_number": "310-675-0900",
            "fax_number": "310-675-0904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13624 HAWTHORNE BLVD",
            "address_2": "SUITE 206",
            "city": "HAWTHORNE",
            "state": "CA",
            "postal_code": "902505818",
            "telephone_number": "310-675-0900",
            "fax_number": "310-675-0904"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WRUBEL",
        "first_name": "KAREN",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-10",
        "last_updated": "2022-05-26",
        "certification_date": "2022-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "CA",
            "license": "E3328",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "E22380",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GRE001780",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hawthorne, CA

Sources for this page

Verify at the official NPI Registry.