Organization Active NPI

Gregory Alan Kubo, O.D., Apc

  • Optometrist
  • Fullerton, CA
National Provider Identifier
1144731795
Registry record updated Oct 22, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
9278 Issued in CA
Legal business name
GREGORY ALAN KUBO, O.D., APC
Practice address
1319 S Harbor Blvd
Fullerton, CA 92832-3001
Phone
(714) 525-3330
NPI assigned
Oct 22, 2017
Organization subpart
Yes
Parent organization
GREGORY ALAN KUBO, O.D., APCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 22, 2017

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

Authorized official

Name
Gregory A. Kubo X, OD
Title
Optometrist
Phone
(714) 469-5977

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 9278 CA Primary

Addresses

Primary practice location

1319 S Harbor Blvd
Fullerton, CA 92832-3001

Mailing address

1319 S Harbor Blvd
Fullerton, CA 92832-3001
Phone (714) 525-3330

National Provider Directory

National Provider Directory
Part of
Gregory Alan Kubo OD Apc

Locations

1319 S Harbor Blvd
Fullerton, CA 92832
Phone (714) 525-3330

NPI Registry JSON

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

{
    "created_epoch": "1508630400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1508630400000",
    "number": "1144731795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1319 S HARBOR BLVD",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928323001",
            "telephone_number": "714-525-3330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1319 S HARBOR BLVD",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928323001",
            "telephone_number": "714-525-3330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREGORY ALAN KUBO, O.D., APC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "GREGORY ALAN KUBO, O.D., APC",
        "enumeration_date": "2017-10-22",
        "last_updated": "2017-10-22",
        "status": "A",
        "authorized_official_last_name": "KUBO",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "714-469-5977",
        "authorized_official_name_suffix": "X",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "CA",
            "license": "9278",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fullerton, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2017; 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.