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Deactivated NPI 1902057151 Deactivated / Inactive NPI Male Practitioner

Dr. Joseph K. Indenbaum , MD

Pediatrics • San Dimas, CA

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Joseph Indenbaum has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date October 07, 2008
NPI Deactivation Date October 02, 2025
Total Practice Duration ~17 Years of Practice (2008 – 2025)

Professional Overview & Biography Verified Profile Summary

Dr. Joseph Indenbaum, MD was a registered Pediatrics practicing in San Dimas, CA. Throughout an active medical career spanning 17 years, Dr. Indenbaum provided care at the practice location at 1446 CALLE LINDA until profile deactivation on 2025-10-02.

Practice Location & Contact Primary Location

Practice Address

1446 Calle Linda

San Dimas, CA 917734026

Telephone 9095928458
Fax 9095920170

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in San Dimas, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 22.5 Yrs
Regional Practice Density
7 Specialists

Practicing in San Dimas, CA (9612 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License CA GFE2443

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
NPI 1346384740

PHYSICALTHERAPIST

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated October 02, 2025

Record deactivated on October 02, 2025

NPI Profile Active October 07, 2008

NPI status registered as active in NPPES database

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Updated Practice Location October 07, 2008

Registered at 1446 CALLE LINDA, SAN DIMAS, CA 917734026 (Tel: 9095928458)

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Updated Business Mailing Address October 07, 2008

Registered at 1446 CALLE LINDA, SAN DIMAS, CA 917734026 (Tel: 9095928458)

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Provider Name / Credentials Updated October 07, 2008

Recorded as JOSEPH INDENBAUM, M.D.

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Medical Taxonomy / Specialty Registered (Primary Specialty) October 07, 2008

Pediatrics (License #GFE2443 in CA)

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Initial NPI Registration & Enumeration October 07, 2008

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1902057151
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 07, 2008
Last Update: October 07, 2008
Deactivation Date: October 02, 2025

Mailing Address

1446 Calle Linda

San Dimas, CA 917734026

Phone: 9095928458

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.