Active NPI
Elizabeth J. Dubose, M.D.
- Radiation Oncology Physician
- San Jose, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Radiation Oncology Physician
- License
- G74545
- Practice address
- 798 S Winchester Blvd
San Jose, CA 95128-2928 - Phone
- (408) 984-7226
- NPI assigned
- Apr 10, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 32676 | KY | |
| Radiation Oncology Physician | 2085R0001X | G74545 | CA | Primary |
| Specialist | 174400000X | G74545 | CA |
Addresses
Primary practice location
798 S Winchester Blvd
San Jose, CA 95128-2928
Mailing address
PO Box 1631
Evansville, IN 47706-0032
Phone (844) 825-9300
Other practice location 1
2365 Quimby Rd Ste 100
San Jose, CA 95122-1337
Phone (669) 888-0001
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124081245 | Medicaid | CA |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040223000269 | CA | Practitioner - Diagnostic Radiology | 2365338985 | Reassigns benefits to 5 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- Other, 1990
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Health Diagnostics of California a Professional CorporationSmi Imaging LLCSilver Creek Radiology Professional CorporationInview Imaging Diagnostics Inc a Professional Medical Corporation
Practice addresses (Care Compare)
1825 Civic Ctr Dr
Suite 1
Santa Clara, CA 95050-7302
Phone (408) 296-5555
2072 Camino de Los Robles
Menlo Park, CA 94025-5917
Phone (480) 306-6949
21030 Redwood Rd
Suite B
Castro Valley, CA 94546-5920
Phone (510) 856-4800
2365 Quimby Rd
Suite 100
San Jose, CA 95122-1337
Phone (669) 888-0001
325 Sacramento St
San Francisco, CA 94111-3601
Phone (415) 321-4674
3450 Hillcrest Ave
Antioch, CA 94531-8238
Phone (925) 757-2100
665 Munras Ave
Suite 109
Monterey, CA 93940-3136
Phone (831) 656-9800
Merit-based Incentive Payment System (MIPS)
- Final score
- 0 of 100
- Quality
- 0
- Improvement activities
- 0
- Cost
- 0
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 32676 | KY | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Heartland Diagnostics, LLC | Diagnostic Radiology | Current | Accepting new patients |
| Heartland Diagnostics, LLC | Diagnostic Radiology | Current | Accepting new patients |
| Health Diagnostics of California a Professional Corporation | Diagnostic Radiology | Current | Accepting new patients |
| Heartland Diagnostics, LLC | Diagnostic Radiology | Current | Accepting new patients |
| Silver Creek Radiology Professional Corporation | Diagnostic Radiology | Current | Accepting new patients |
| Smi Imaging, LLC | Diagnostic Radiology | Current | Accepting new patients |
| Castro Valley Open MRI Medical Group Inc | Current | Accepting new patients | |
| Health Diagnostics of California a Professional Corporation | Diagnostic Radiology | Current | Accepting new patients |
| Inview Imaging Diagnostics Inc a Professional Medical Corporation | Diagnostic Radiology | Current | Accepting new patients |
| Insight Health Corp | Past | Accepting new patients |
Locations
3450 Hillcrest Ave
Antioch, CA 94531
Phone (925) 757-2100
21030 Redwood Rd
Ste B
Castro Valley, CA 94546
Phone (510) 856-4800
39465 Paseo Padre Pkwy
Ste 1000
Fremont, CA 94538
Phone (310) 222-5015
665 Munras Ave
Ste 109
Monterey, CA 93940
Phone (831) 656-9800
225 W Hospitality Ln
Ste 102
San Bernardino, CA 92408
Phone (909) 888-5000
325 Sacramento St
San Francisco, CA 94111
Phone (408) 356-9013
325 Sacramento St
#1112
San Francisco, CA 94111
Phone (408) 356-9013
2365 Quimby Rd
Ste 100
San Jose, CA 95122
Phone (650) 964-1505
7807 Shelbyville Rd
Ste 100
Louisville, KY 40222
Phone (502) 426-6500
7807 Shelbyville Rd
Ste 10
Louisville, KY 40222
Phone (502) 429-8998
Organizations & group practices 10
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.
-
- Diagnostic Radiology Physician
- Mountain View, CA
- NPI 1104321959
CA, Diagnostic Radiology
-
- Radiology Clinic/Center
- Antioch, CA
- NPI 1285603837
CA, Diagnostic Radiology
-
- Diagnostic Radiology Physician
- San Jose, CA
- NPI 1154790772
CA, Diagnostic Radiology
-
- Diagnostic Radiology Physician
- Scottsdale, AZ
- NPI 1972004489
CA, Diagnostic Radiology
-
- Magnetic Resonance Imaging (MRI) Clinic/Center
- Castro Valley, CA
- NPI 1942592837
CA
-
- Diagnostic Radiology Physician
- Redlands, CA
- NPI 1164053286
Diagnostic Radiology
-
- Radiology Clinic/Center
- Louisville, KY
- NPI 1497236772
Diagnostic Radiology
-
- Radiology Clinic/Center
- Elizabethtown, KY
- NPI 1881697613
Diagnostic Radiology
-
- Radiology Clinic/Center
- Louisville, KY
- NPI 1972084259
Diagnostic Radiology
-
- Physiological Laboratory
- Hayward, CA
- NPI 1497879498
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144627200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1726704000000",
"number": "1124081245",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1631",
"city": "EVANSVILLE",
"state": "IN",
"postal_code": "477060032",
"telephone_number": "844-825-9300",
"fax_number": "775-852-6902"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "798 S WINCHESTER BLVD",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951282928",
"telephone_number": "408-984-7226"
}
],
"practiceLocations": [
{
"address_1": "2365 Quimby Rd Ste 100",
"address_purpose": "LOCATION",
"city": "San Jose",
"state": "CA",
"postal_code": "951221337",
"country_code": "US",
"telephone_number": "669-888-0001",
"fax_number": "669-888-0551",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DUBOSE",
"first_name": "ELIZABETH",
"middle_name": "J.",
"name_prefix": "Mrs.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-04-10",
"last_updated": "2024-09-19",
"certification_date": "2024-09-19",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "KY",
"license": "32676",
"primary": false
},
{
"code": "2085R0001X",
"taxonomy_group": "",
"desc": "Radiology, Radiation Oncology",
"state": "CA",
"license": "G74545",
"primary": true
},
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "CA",
"license": "G74545",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1124081245",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in San Jose, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.