SUSAN M KUBICA MD PROFESSIONAL CORPORATION (NPI# 1700909256) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700909256 |
| Entity Type | Organization |
| Organization Name | SUSAN M KUBICA MD PROFESSIONAL CORPORATION |
| Practice Address |
1000 8th St Suite 101 Monterey CA 93940-3664 |
| Practice Telephone | 8313721188 |
| Practice Fax Number | 8313721181 |
| Mailing Telephone | 8313721188 |
| Mailing Fax Number | 8313721181 |
| Enumeration Date | 2007-04-09 |
| Last Update Date | 2007-11-27 |
| Authorized Official Name | DR. SUSAN M KUBICA (PHYSICIAN) |
| Authorized Official Telephone | 8313721188 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | MEDICARE PROVIDER | ZZZ05146Z | 01 |
| Street Address |
1000 8TH ST SUITE 101 |
| City | MONTEREY |
| State | CA |
| Zip Code | 93940-3664 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245321876 | Susan Marie Kubica | Internal Medicine | 1000 8th St, Suite 101, Monterey, CA 93940-3664 | 2006-09-27 |
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|---|---|---|---|---|
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| 1639697048 | Neil Northey | Counselor | 343 Dela Vina Ave., Monterey, CA 93940 | 2017-09-06 |
| 1316469075 | Ashley Nicole Walden | Counselor | 1010 Cass St Ste C, Monterey, CA 93940 | 2017-07-13 |
| 1801317524 | Aubrey Nicole Trammell | Behavior Technician | 140 W Franklin St., Unit 202, Monterey, CA 93940 | 2017-07-03 |
| 1366971764 | Marlene Schwaighofer | Behavior Technician | 140 W Franklin Street, Ste. #202, Monterey, CA 93940 | 2017-06-08 |
| 1235668500 | Rochelle Lyrae Winsted | Licensed Psychiatric Technician | Drake House 399 Drake St, Monterey, CA 93940 | 2017-06-08 |
| 1447783386 | Interim Incorporated | Community Based Residential Treatment Facility, Mental Illness | 321 Hawthorne St, Apt B, Monterey, CA 93940 | 2017-04-07 |
| 1851841076 | Joy Dean | Counselor | 343 Dela Vina, Monterey, CA 93940 | 2016-10-12 |
| 1629426416 | Interim Inc | Community Based Residential Treatment Facility, Mental Illness | 604 Pearl St., Monterey, CA 93940 | 2016-06-02 |
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| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
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| 1790125912 | Gina Heal, Md Inc | Clinic/Center | 11 Thomas Owens Way, Suite 101, Monterey, CA 93940 | 2013-07-02 |
| 1033202072 | Mammography Center of Monterey | Clinic/Center | 700 Cass St, Suite #120, Monterey, CA 93940-2916 | 2006-10-02 |
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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.