BENJAMIN JOSEPH HUBBARD (NPI# 1619517745) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619517745 |
| Entity Type | Individual |
| Full Name | BENJAMIN JOSEPH HUBBARD |
| Other Name | BEN JOSEPH HUBBARD |
| Credential | PA |
| Practice Address |
2625 Shadelands Dr Walnut Creek CA 94598-2512 |
| Mailing Address |
Po Box 31396 Walnut Creek CA 94598-8396 |
| Practice Telephone | 9259398585 |
| Practice Fax Number | 9259332709 |
| Mailing Telephone | 9259398585 |
| Mailing Fax Number | 9259332709 |
| Enumeration Date | 2020-01-07 |
| Last Update Date | 2020-09-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
57963 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073622106 | Benjamin T Hubbard Jr. | Optometrist | 260 Power Dr, Batesville, MS 38606 | 2006-08-30 |
| 1154588978 | Benjamin C Hubbard | Family Medicine | 407 E 2nd Ave, Suite 250, Spokane, WA 99202-1428 | 2008-05-20 |
| Street Address |
2625 SHADELANDS DR |
| City | WALNUT CREEK |
| State | CA |
| Zip Code | 94598-2512 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851374243 | Linda Wensley | Occupational Therapist | 2625 Shadelands Dr, Walnut Creek, CA 94598-2512 | 2005-11-21 |
| 1356956460 | Kali Anne Koziol | Physician Assistant | 2625 Shadelands Dr, Walnut Creek, CA 94598-2512 | 2020-09-15 |
| 1972125359 | Jenna K Paynter | Physical Therapist | 2625 Shadelands Dr, Walnut Creek, CA 94598-2512 | 2020-05-08 |
| 1811523020 | Darby June Nordin | Physical Therapist | 2625 Shadelands Dr, Walnut Creek, CA 94598-2512 | 2020-03-19 |
| 1023658440 | Caitlin Mondt | Physical Therapist | 2625 Shadelands Dr, Walnut Creek, CA 94598-2512 | 2020-01-14 |
| 1558919944 | James Albertson | Physical Therapist | 2625 Shadelands Dr, Walnut Creek, CA 94598-2512 | 2019-08-28 |
| 1477114809 | Katalin Bela | Physical Therapist | 2625 Shadelands Dr, Walnut Creek, CA 94598-2512 | 2019-06-26 |
| 1770051906 | Hyun Woo Kim | Physical Therapist | 2625 Shadelands Dr, Walnut Creek, CA 94598-2512 | 2018-11-06 |
| 1093282576 | Courtney Katz | Orthopaedic Surgery | 2625 Shadelands Dr, Walnut Creek, CA 94598-2512 | 2018-11-01 |
| 1346715588 | Rachel Ann Robertson | Physician Assistant | 2625 Shadelands Dr, Walnut Creek, CA 94598-2512 | 2018-10-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639716608 | Tasnim Diaf Moulton | Counselor | 2730 Shadelands Drive, Walnut Creek, CA 94598 | 2019-12-09 |
| 1790255370 | Harmony Grace Davis | Behavior Technician | 2730 Shadelands Drive Bldg 10, Walnut Creek, CA 94598 | 2018-11-27 |
| 1922583772 | Melissa Anne Mcgovern | Behavioral Analyst | 2370 Shadelands Drive, Bldg 10, Walnut Creek, CA 94598 | 2018-09-27 |
| 1184108367 | Brett Heflin Woodrufff | Behavior Technician | 2730 Shandeland Dr. Building 10, Walnut Creek, CA 94598 | 2018-09-24 |
| 1710411640 | Mandy Wei | Pharmacist | 2880 Shadeland Dr, Suite 201, Walnut Creek, CA 94598 | 2017-04-18 |
| 1437683497 | Hayley Miller | Student in an Organized Health Care Education/Training Program | 2204 Lomond Lane, Walnut Creek, CA 94598 | 2017-04-17 |
| 1043601594 | Marlene Perez Riedel | Nurse Practitioner | 450 North Wiget Lane, Walnut Creek, CA 94598 | 2015-02-05 |
| 1922418904 | Dante Michael Sorrentino | Ophthalmology | Kaiser Permanente Park Shadelands Medical Offices, 320 Lennon Lane, Walnut Creek, CA 94598 | 2014-04-30 |
| 1194156505 | Robert Harrison Hubbell | Obstetrics & Gynecology | 838 Stonehaven Dr, Walnut Creek, CA 94598 | 2013-12-11 |
| 1174954192 | Paul Mead | Orthopaedic Surgery | 2405 Shadelands Dr Ste 300, Walnut Creek, CA 94598 | 2013-12-01 |
| Find all providers in zip 94598 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063520906 | James Quintella | Physician Assistant | 301 Lennon Ln Ste 100, Walnut Creek, CA 94598-2426 | 2006-08-29 |
| 1356956460 | Kali Anne Koziol | Physician Assistant | 2625 Shadelands Dr, Walnut Creek, CA 94598-2512 | 2020-09-15 |
| 1306499272 | Kevin Byrne | Physician Assistant | 2405 Shadelands Dr, Walnut Creek, CA 94598-2444 | 2019-07-19 |
| 1881062750 | Zachary Symmes | Physician Assistant | 2405 Shadelands Dr, Walnut Creek, CA 94598-2444 | 2015-09-09 |
| 1588960694 | Kennard David Beard | Physician Assistant | 1990 N California Blvd, Suite 400, Walnut Creek, CA 94596-3742 | 2011-02-07 |
| 1184959033 | Jennifer Hisako Hayashi | Physician Assistant | 301 Lennon Ln, Suite 102, Walnut Creek, CA 94598-2483 | 2009-10-09 |
| 1992936868 | Claire Elizabeth Kerney | Physician Assistant | 1425 S Main St, Walnut Creek, CA 94596-5318 | 2009-07-27 |
| 1588856066 | James E Michael | Physician Assistant | 2625 Shadelands Dr, Walnut Creek, CA 94598-2512 | 2007-08-17 |
| 1114078631 | Mark Okawachi | Physician Assistant | 1425 S Main St, Walnut Creek, CA 94596-5318 | 2007-01-12 |
| 1780733691 | Shannon Michelle Rathbun | Physician Assistant | 1425 S Main St, Walnut Creek, CA 94596-5318 | 2007-01-09 |
| Find all providers in WALNUT CREEK | ||||
| City | WALNUT CREEK |
| Zip Code | 94598 |
Please comment or provide details below to improve the information on BENJAMIN JOSEPH HUBBARD.
| 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.