NPIMap

Individual provider Active NPI

Matthew Alan Lublin, M.D.

  • Surgery Physician
  • Santa Monica, CA
National Provider Identifier
1992741813
Registry record updated Jul 21, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
A82116 Issued in CA
Practice address
2001 Santa Monica Blvd Ste 860W
Santa Monica, CA 90404-2189
Phone
(310) 828-3209
Fax
(310) 828-5165
NPI assigned
Jun 20, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X A82116 CA Primary

Addresses

Primary practice location

2001 Santa Monica Blvd Ste 860W
Santa Monica, CA 90404-2189

Mailing address

2001 Santa Monica Blvd
Ste 1170W
Santa Monica, CA 90404-2122
Phone (310) 417-5900

Other identifiers 1

IdentifierTypeStateIssuer
W14560OtherCAPTAN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041218000170 CA Practitioner - General Surgery 7719944917 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
University of California, Geffen School of Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2001 Santa Monica Blvd
Suite 1170W
Santa Monica, CA 90404-2122
Phone (310) 828-2212

Hospital & facility affiliations

  • Saint John'S Health Center Hospital, Santa Monica, CA, CCN 050290
  • Providence Cedars Sinai Tarzana Medical Center Hospital, Tarzana, CA, CCN 050761
  • Valley Presbyterian Hospital Hospital, Van Nuys, CA, CCN 050126

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Hernia repair - groin (open)1-10
Hernia repair (minimally invasive)57
Upper gastrointestinal (GI) endoscopy for acid reflux1-10
Removal of skin lesions1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A82116CAMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Matthew Lublin MD Inc Surgery CurrentSince Jan 2, 2013 Accepting new patients
Advanced Surgical Associates of Santa Monica Surgery Current Accepting new patients
Santa Monica Bay Area Physicians Past Accepting new patients
Southern California Advanced Laparo Endoscopic Surgery Surgery Past Accepting new patients
Dignity Health Past Accepting new patients
Cedars-Sinai Marina Hospital Past Accepting new patients
Santa Monica Bay Area Physicians Past Accepting new patients
Southern California Healthcare System, Inc Past Accepting new patients
West Hills Hospital Past Accepting new patients
Regents Univ of Calif Los Angeles Past Accepting new patients
Valley Presbyterian Hospital Past Accepting new patients
The Regents of the University of California Past Accepting new patients
Cedars-Sinai Medical Center Past Accepting new patients

Locations

2001 Santa Monica Blvd
Ste 1170W
Santa Monica, CA 90404
Phone (310) 828-2212

2121 Santa Monica Blvd
Santa Monica, CA 90404
Phone (310) 281-2024

Interoperability endpoints

  • Direct secure messaging: mlublin24485@direct.uclahealth.org
  • Direct secure messaging: matthew.lublin@25254486.chartlogic.direct-ci.com

Organizations & group practices 13

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.

View all 13

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1150761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1469059200000",
    "number": "1992741813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 SANTA MONICA BLVD",
            "address_2": "STE 1170W",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904042122",
            "telephone_number": "310-417-5900",
            "fax_number": "310-410-1001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 SANTA MONICA BLVD STE 860W",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904042189",
            "telephone_number": "310-828-3209",
            "fax_number": "310-828-5165"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUBLIN",
        "first_name": "MATTHEW",
        "middle_name": "ALAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-20",
        "last_updated": "2016-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "CA",
            "license": "A82116",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "W14560",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Monica, CA

Sources for this page

Verify at the official NPI Registry.