Koji Kubo (NPI# 1295745180, PAC ID# 4880796630) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
Nation Provider ID (NPI) | 1295745180 |
PAC ID by PECOS | 4880796630 |
Professional Enrollment ID | I20070224000169 |
Full Name | Koji Kubo |
Organization Legal Name | DIGNITY HEALTH MEDICAL FOUNDATION |
Address |
1700 N Rose Ave Suite 350 Oxnard CA 93030-7627 |
Phone Number | 8054857877 |
Gender | M |
Credential | MD |
Graduation Year | 1998 |
Primary Specialty | FAMILY MEDICINE |
Group Practice PAC ID | 7810800661 |
Number of Group Practice Members | 1116 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
050082 | ST JOHNS REGIONAL MEDICAL CENTER |
Address | Phone | Organization |
---|---|---|
1700 N Rose Ave, Suite 350, Oxnard, CA 93030-7627 | 8054857877 | DIGNITY HEALTH MEDICAL FOUNDATION |
1700 N Rose Ave, Suite 210, Oxnard, CA 93030-7639 | 8053848071 | DIGNITY HEALTH MEDICAL FOUNDATION |
Organization Legal Name | DIGNITY HEALTH MEDICAL FOUNDATION |
Physicians | 1191 |
Name | Specialty | Organization | Address |
---|---|---|---|
Daniel E Temple | Family Medicine | Dignity Health Medical Foundation | 1779 Dominican Way, Suite B, Santa Cruz, CA 95065-1526 |
Lei Wang | Rheumatology | Dignity Health Medical Foundation | 2081 Bronze Star Dr, Woodland, CA 95776-5423 |
Guillermina Lexie Morales | Obstetrics/gynecology | Dignity Health Medical Foundation | 1321 Cottonwood St, Fl 3, Woodland, CA 95695-5131 |
Thu Trang Le | Nurse Practitioner | Dignity Health Medical Foundation | 782 E Harding Way, Stockton, CA 95204-6101 |
Shannon Lyn Manley | Nurse Practitioner | Dignity Health Medical Foundation | 3900 Piedmont Ave, Oakland, CA 94611-5352 |
Etelberto Guzman | Clinical Social Worker | Dignity Health Medical Foundation | 1207 Fairchild Ct, Woodland, CA 95695-4321 |
Daniel James Greene | Urology | Dignity Health Medical Foundation | 1667 Dominican Way, Suite 234, Santa Cruz, CA 95065-1560 |
Azadeh Toofaninejad | Cardiovascular Disease (cardiology) | Dignity Health Medical Foundation | 9394 Big Horn Blvd, Elk Grove, CA 95758-7977 |
Kathleen C Hilton | Nurse Practitioner | Dignity Health Medical Foundation | 13350 Big Basin Way, Boulder Creek, CA 95006-9237 |
Ibrahim W Azer | General Surgery | Dignity Health Medical Foundation | 315 Mercy Ave, Suite 400, Merced, CA 95340-8368 |
Street Address |
1700 N ROSE AVE SUITE 350 |
City | OXNARD |
State | CA |
Zip | 93030-7627 |
Name | Specialty | Organization | Address |
---|---|---|---|
Patrick Mccarty | General Surgery | General Surgery Medical Group of Ventura County | 1700 N Rose Ave, Suite 430, Oxnard, CA 93030-3793 |
Glen Abergel | Infectious Disease | Dignity Health Medical Foundation | 1700 N Rose Ave, Suite 220, Oxnard, CA 93030-7640 |
Robert C Streeter Iv | Family Medicine | Dignity Health Medical Foundation | 1700 N Rose Ave, Suite 210, Oxnard, CA 93030-7639 |
Bora Kim | Internal Medicine | Dignity Health Medical Foundation | 1700 N Rose Ave, Suite 350, Oxnard, CA 93030-7627 |
Kristin Anne Nurre | Nurse Practitioner | Dignity Health Medical Foundation | 1700 N Rose Ave, Suite 350, Oxnard, CA 93030-7627 |
Chirag J Dalsania | Hematology/oncology | Pmk Medical Group, Inc. | 1700 N Rose Ave, Suite 320, Oxnard, CA 93030-7648 |
Sicen He | Nurse Practitioner | Dignity Health Medical Foundation | 1700 N Rose Ave, Suite 210, Oxnard, CA 93030-7639 |
Elvin M Park | Nurse Practitioner | Dignity Health Medical Foundation | 1700 N Rose Ave, Suite 350, Oxnard, CA 93030-7627 |
Sarah Marie Abraham | Nurse Practitioner | Dignity Health Medical Foundation | 1700 N Rose Ave, Suite 220, Oxnard, CA 93030-7640 |
Lori N Sikorra | Nurse Practitioner | Dignity Health Medical Foundation | 1700 N Rose Ave, Suite 350, Oxnard, CA 93030-7627 |
Find all physicians in the same address |
Name | Specialty | Organization | Address |
---|---|---|---|
Michelene A Craft-maynor | Occupational Therapy | 1701 Solar Dr, Suite 195, Oxnard, CA 93030-0134 | |
John A Huebner | Physician Assistant | Encephalogic Medical Group, Inc. | 1701 Solar Dr, Suite 140, Oxnard, CA 93030-0136 |
James P Sutton | Neurology | Encephalogic Medical Group, Inc. | 1701 Solar Dr, Suite 140, Oxnard, CA 93030-0136 |
Rachel Casas | Psychologist, Clinical | Encephalogic Medical Group, Inc. | 1701 Solar Dr, Suite 140, Oxnard, CA 93030-0136 |
Erin Nicole Waite | Psychologist, Clinical | Encephalogic Medical Group, Inc. | 1701 Solar Dr, Suite 140, Oxnard, CA 93030-0136 |
Steven A Rogers | Psychologist, Clinical | Encephalogic Medical Group, Inc. | 1701 Solar Dr, Suite 140, Oxnard, CA 93030-0136 |
Larry Brown | Physical Therapy | 1701 Solar Dr, Suite 155, Oxnard, CA 93030-0139 | |
David G Musgrove | Physical Therapy | 1701 Solar Dr, Oxnard, CA 93030-0139 | |
Adrienne Lara | Obstetrics/gynecology | 1801 Solar Dr, Suite 150, Oxnard, CA 93030-0147 | |
Yuly Gorodisky | Plastic and Reconstructive Surgery | 1801 Solar Dr, Suite 150, Oxnard, CA 93030-0147 | |
Find all physicians in zip 93030 |
City | OXNARD |
Zip Code | 93030 |
Specialty | FAMILY MEDICINE |
City + Specialty | OXNARD + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Koji Kubo.
Data Provider | Centers for Medicare & Medicaid Services (CMS) |
Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.