DR. JEFFERY HUBBARD (NPI# 1396726287) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396726287 |
| Entity Type | Individual |
| Full Name | DR. JEFFERY HUBBARD |
| Credential | M.D. |
| Practice Address |
7780 N Fresno St Suite 102 Fresno CA 93720-2413 |
| Practice Telephone | 5594498500 |
| Practice Fax Number | 5594498502 |
| Mailing Telephone | 5594498500 |
| Mailing Fax Number | 5594498502 |
| Enumeration Date | 2005-11-08 |
| Last Update Date | 2012-10-24 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | G62200 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | BLUE CROSS/BLUE SHIELD | 00G622000 | 01 |
| CA | RAILROAD MEDICARE | 110116923 | 01 |
| CA | 00G622000 | 05 | |
| CA | CHAMPUS | 77040368493612B016 | 01 |
| Street Address |
7780 N FRESNO ST SUITE 102 |
| City | FRESNO |
| State | CA |
| Zip Code | 93720-2413 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871589085 | Douglas S Stanley | Internal Medicine | 7780 N Fresno St, Ste 102, Fresno, CA 93720-2413 | 2005-09-22 |
| 1073931697 | Susan Dominic, M.d., Inc. | Internal Medicine | 7780 N Fresno St, Suite 100, Fresno, CA 93720-2413 | 2014-04-01 |
| 1578704169 | Thomas H Larson Dds Inc | Clinic/Center | 7780 N Fresno St, Suite 105, Fresno, CA 93720-2413 | 2009-03-12 |
| 1831372242 | Susan Lee Logan | Transplant Surgery | 7780 N Fresno St, Ste 100, Fresno, CA 93720-2413 | 2007-12-07 |
| 1639370588 | Douglas S. Stanley, M.d., Inc. | Specialist | 7780 N Fresno St, Suite 102, Fresno, CA 93720-2413 | 2007-05-29 |
| 1306997820 | Katherine Mulvey | Optometrist | 7780 N Fresno St, Suite 103, Fresno, CA 93720-2413 | 2007-01-12 |
| 1346305612 | Raymond Mulvey | Optometrist | 7780 N Fresno St, Suite 103, Fresno, CA 93720-2413 | 2006-12-26 |
| 1811068109 | Thomas Hartman Larson | Dentist | 7780 N Fresno St, Suite 105, Fresno, CA 93720-2413 | 2006-11-10 |
| 1154401628 | Leonard J Lovalvo | Colon & Rectal Surgery | 7780 N Fresno St, #101, Fresno, CA 93720 | 2006-10-17 |
| 1285742312 | Susan Dominic | Internal Medicine | 7780 N Fresno St, Ste. 100, Fresno, CA 93720-2413 | 2006-08-28 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366061129 | Ariel Lok Yen Leung | Student in an Organized Health Care Education/Training Program | 1313 East Herndon Ave, St 105, Fresno, CA 93720 | 2020-04-13 |
| 1457992513 | Brittany Nichole Willis | Audiologist | 1351 E Spruce Ave Ste 130, Fresno, CA 93720 | 2019-09-30 |
| 1013567668 | Taylor Courteney Cox | Physical Therapist | 7080 N. Maple Ave #101, Fresno, CA 93720 | 2019-09-16 |
| 1457909152 | Lillian M Augilera | Technician | 8419 N Dearing Ave, Fresno, CA 93720 | 2019-08-27 |
| 1215581764 | Sterling Hospitalist Medical Group, Inc. | Clinic/Center | 1191 E. Herndon Avenue Suite 103, Fresno, CA 93720 | 2019-08-01 |
| 1376006429 | Nancy Minh Thao Dang | Student in an Organized Health Care Education/Training Program | 1313 E. Herndon Ave, St 105, Fresno, CA 93720 | 2019-04-06 |
| 1366904716 | Shankar Nair | Student in an Organized Health Care Education/Training Program | 1313 E. Herndon Ave, St 105., Fresno, CA 93720 | 2019-04-04 |
| 1861979544 | Powell Pediatric Dentistry Chestnut Partnership | Dentist | 7005 N. Chestnut Ave Ste 101, Fresno, CA 93720 | 2018-07-25 |
| 1669967311 | Sierra Pacific Orthopaedic Center Medical Group Inc | Specialist | 1270 E. Spruce, Fresno, CA 93720 | 2018-06-26 |
| 1689168700 | Vinita Vishnoi | Student in an Organized Health Care Education/Training Program | 1313 E. Herndon Ave, St 105, Fresno, CA 93720 | 2018-06-21 |
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| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184225872 | Prime Medicine Partners Inc | Internal Medicine | 7647 N Fresno St, Fresno, CA 93720-2578 | 2020-11-08 |
| 1861023715 | Central California Hospital Medicine Group Inc | Internal Medicine | 9635 N Matus Ave, Fresno, CA 93720-4630 | 2020-01-29 |
| 1013430982 | Family Wellness Clinic, Inc | Internal Medicine | 3152 N Millbrook Ave Ste C, Fresno, CA 93703-1459 | 2017-07-21 |
| 1639552755 | Rupinder Kaur Mann | Internal Medicine | 1303 E Herndon Ave # Ms 485, Fresno, CA 93720 | 2015-07-07 |
| 1205242153 | Susan Dominic, Md., Inc. | Internal Medicine | 7780 N Fresno St Ste 100, Fresno, CA 93720-2413 | 2014-07-10 |
| 1326462631 | El Capitan Wound & Diabetic Center Inc | Internal Medicine | 4747 N 1st St Ste 134, Fresno, CA 93726 | 2014-02-06 |
| 1932546934 | Best Wound and Diabetes Care Inc | Internal Medicine | 2205 N Fresno St, C, Fresno, CA 93703-2210 | 2013-05-30 |
| 1649525742 | Jeffery M Hubbard Md Inc | Internal Medicine | 7780 N Fresno St Ste 102, Fresno, CA 93720-2413 | 2012-07-16 |
| 1144537317 | Wajiha Irshad | Internal Medicine | 1303 E Herndon Ave;, St Agnes Medical Center., Fresno, CA 93720 | 2010-09-08 |
| 1497068100 | Isira Jayanath Aravinda Perera | Internal Medicine | 1830 E Shepherd Ave Apt 107, Fresno, CA 93720-5616 | 2010-07-22 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.