Individual provider Active NPI

Kavitha Hubbard, M.D.

  • Nephrology Physician
  • Los Gatos, CA
National Provider Identifier
1124058805
Registry record updated Feb 21, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
A79279 Issued in CA
Practice address
18055 Idalyn Dr
Los Gatos, CA 95033-8924
Phone
(310) 502-0851
NPI assigned
Jul 5, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X A79279 CA Primary

Addresses

Primary practice location

18055 Idalyn Dr
Los Gatos, CA 95033-8924

Mailing address

18055 Idalyn Dr
Los Gatos, CA 95033-8924
Phone (310) 502-0851

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060908000299 CA Practitioner - Nephrology 1557365301 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nephrology
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Central Coast Nephrology Medical CorporationGroup PAC ID 2466495759, 11 clinicians

Practice addresses (Care Compare)

8095 Camino Arroyo
Suite 200
Gilroy, CA 95020-7304
Phone (408) 847-2200

917 Blanco Cir
Salinas, CA 93901-4446
Phone (831) 755-7999

Hospital & facility affiliations

  • Salinas Valley Health Medical Center Hospital, Salinas, CA, CCN 050334
  • Hazel Hawkins Memorial Hospital Hospital, Hollister, CA, CCN 051337
  • Santa Clara Valley Medical Center Hospital, San Jose, CA, CCN 050038
  • Community Hospital of the Monterey Peninsula Hospital, Monterey, CA, CCN 050145

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
79279CAMDMarriage & Family Therapist
A79279CAMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Central Coast Nephrology Medical Corporation Nephrology CurrentSince Mar 1, 2014 Accepting new patients
L a County Nephrology Associates a Medical Corporation PastSince Aug 25, 2019 Accepting new patients

Locations

8095 Camino Arroyo
#200
Gilroy, CA 95020
Phone (408) 847-2200

917 Blanco Cir
Salinas, CA 93901
Phone (831) 755-7999

Interoperability endpoints

  • Direct secure messaging: khubbard17722@direct.svmh.com
  • Direct secure messaging: khubbard14240@alamedahs.direct-ci.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1152057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1392940800000",
    "number": "1124058805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18055 IDALYN DR",
            "city": "LOS GATOS",
            "state": "CA",
            "postal_code": "950338924",
            "telephone_number": "310-502-0851"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18055 IDALYN DR",
            "city": "LOS GATOS",
            "state": "CA",
            "postal_code": "950338924",
            "telephone_number": "310-502-0851"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUBBARD",
        "first_name": "KAVITHA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-05",
        "last_updated": "2014-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "CA",
            "license": "A79279",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Gatos, CA

Sources for this page

Verify at the official NPI Registry.