Mayra Hubbard, PA.

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

PA21699 Issued in CA

Practice address

1377 S Grand Ave
Glendora, CA 91740-5047

Phone

(626) 483-3348

Fax

(626) 623-7258

NPI assigned

Aug 22, 2011

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Mayra Martinez Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1313971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553126400000",
    "number": "1033499108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1377 S GRAND AVE",
            "city": "GLENDORA",
            "state": "CA",
            "postal_code": "917405047",
            "telephone_number": "626-483-3348",
            "fax_number": "626-623-7258"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1377 S GRAND AVE",
            "city": "GLENDORA",
            "state": "CA",
            "postal_code": "917405047",
            "telephone_number": "626-483-3348",
            "fax_number": "626-623-7258"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUBBARD",
        "first_name": "MAYRA",
        "name_prefix": "Ms.",
        "credential": "PA.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-08-22",
        "last_updated": "2019-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CA",
            "license": "PA21699",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MAYRA",
            "last_name": "MARTINEZ",
            "credential": "PA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Sabrina Veronica Howenstine, M.D.
• HP Badesha Co (Glendora Medical Pharmacy)
• Tony M Hsieh, MD
• Zhie Hu
• Aaron Huang, DDS
• Deborah L. Huffey, L.C.S.W.
• Kimi Hunt, CMT, LMT
• Hannah Lo Hunter, AGACNP
• Charlene I Hurdle
• Rebeca Marcela Hurtado, MSW

• Medical Physician Assistant in Glendora, CA
• Providers in Glendora, CA by specialty
• Medical Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.