Active NPI
Lawrence I Rubin DPM, Inc
- Podiatrist
- Gardena, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- E1602
- Legal business name
- LAWRENCE I RUBIN DPM, INC
- Practice address
- 1045 W Redondo Beach Blvd Ste 106
Gardena, CA 90247-4276 - Phone
- (310) 323-2887
- Fax
- (310) 323-8609
- NPI assigned
- Jul 30, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Lawrence Rubin
- Title
- Director
- Phone
- (310) 323-2887
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | E1602 | CA | Primary |
Addresses
Primary practice location
1045 W Redondo Beach Blvd Ste 106
Gardena, CA 90247-4276
Mailing address
1045 W Redondo Beach Blvd Ste 106
Gardena, CA 90247-4276
Phone (310) 323-2887
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 2
Other NPIs with the same Medicare PAC ID 1
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
Other NPIs on the same Medicare enrollment 1
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
National Provider Directory
National Provider DirectoryLocations
1045 W Redondo Beach Blvd
Ste 250
Gardena, CA 90247
Phone (310) 323-2887
Practitioners & affiliated clinicians
Practitioners 5
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Podiatrist
- Gardena, CA
- NPI 1013012368
-
- Foot & Ankle Surgery Podiatrist
- Gardena, CA
- NPI 1871673616
-
- Foot & Ankle Surgery Podiatrist
- Gardena, CA
- NPI 1255778726
-
- Podiatrist
- Fountain Valley, CA
- NPI 1801840483
-
- Foot & Ankle Surgery Podiatrist
- Gardena, CA
- NPI 1144458928
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1185753600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1705536000000",
"number": "1982894572",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1045 W REDONDO BEACH BLVD STE 106",
"city": "GARDENA",
"state": "CA",
"postal_code": "902474276",
"telephone_number": "310-323-2887",
"fax_number": "310-323-8609"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1045 W REDONDO BEACH BLVD STE 106",
"city": "GARDENA",
"state": "CA",
"postal_code": "902474276",
"telephone_number": "310-323-2887",
"fax_number": "310-323-8609"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LAWRENCE I RUBIN DPM, INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-07-30",
"last_updated": "2024-01-18",
"certification_date": "2024-01-18",
"status": "A",
"authorized_official_last_name": "RUBIN",
"authorized_official_first_name": "LAWRENCE",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "310-323-2887"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Podiatrist",
"state": "CA",
"license": "E1602",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Gardena, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.