Individual provider Active NPI

Jyes Annemarie Querubin, M.D.

  • Neurology with Special Qualifications in Child Neurology Physician
  • Arcadia, CA
National Provider Identifier
1154688604
Registry record updated Nov 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology with Special Qualifications in Child Neurology PhysicianTaxonomy code 2084N0402X
License
A131704 Issued in CA
Practice address
1015 N 1St Ave
Arcadia, CA 91006-7401
Phone
(626) 598-3770
NPI assigned
Apr 20, 2012
Last updated
Nov 4, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology with Special Qualifications in Child Neurology Physician 2084N0402X 01083335A IN
Neurology with Special Qualifications in Child Neurology Physician 2084N0402X A131704 CA Primary
Neurology with Special Qualifications in Child Neurology Physician 2084N0402X 2023-02902 NC
Neurology with Special Qualifications in Child Neurology Physician 2084N0402X MED-PHYS-LIC-79662 MT

Addresses

Primary practice location

1015 N 1St Ave
Arcadia, CA 91006-7401

Mailing address

1015 N 1St Ave Apt a
Arcadia, CA 91006-7401
Phone (626) 598-3770

Other practice location 1

601 W Spruce St Ste J
Missoula, MT 59802-4047
Phone (406) 327-3350

Other practice location 2

720 Eskeanzi Ave
Indianapolis, IN 46202-5166
Phone (317) 880-7666

Other practice location 3

300 Hillmont Ave
Ventura, CA 93003-1651
Phone (805) 652-6000

Other practice location 4

3000 New Bern Ave
Raleigh, NC 27610-1231
Phone (919) 350-8000

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address jquerubin@westcoastneurology.com
Direct Messaging Address jyes.querubin@ventura.cernerdirect.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, IL, NE, PA, CO, MT, IN, GA, ND, NC, KY, IA, SD, WI14 enrollments
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 14

Enrollment IDStateProvider typePAC IDDetails
I20170831003369 CA Practitioner - Neurology 6901179662 Reassigns benefits to 4 organizations
I20191205001134 IL Practitioner - Neurology 6901179662 Reassigns benefits to 1 organization
I20191207000019 NE Practitioner - Neurology 6901179662
I20191217002569 PA Practitioner - Neurology 6901179662 Reassigns benefits to 2 organizations
I20191221000237 CO Practitioner - NeurologyPractitioner - Other (Physician) 6901179662 Reassigns benefits to 3 organizations
I20191230000678 MT Practitioner - Neurology 6901179662 Reassigns benefits to 2 organizations
I20200629001663 IN Practitioner - Neurology 6901179662 Reassigns benefits to 1 organization
I20210312001573 GA Practitioner - NeurologyPractitioner - Other (Physician) 6901179662 Reassigns benefits to 2 organizations
I20210412000671 ND Practitioner - NeurologyPractitioner - Other (Physician) 6901179662 Reassigns benefits to 1 organization
I20231207001570 NC Practitioner - Neurology 6901179662 Reassigns benefits to 1 organization
I20240926000084 KY Practitioner - Neurology 6901179662 Reassigns benefits to 1 organization
I20241001002069 IA Practitioner - Neurology 6901179662 Reassigns benefits to 2 organizations
I20241125002582 SD Practitioner - Neurology 6901179662 Reassigns benefits to 1 organization
I20260407001095 WI Practitioner - NeurologyPractitioner - Psychiatry 6901179662 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Neuromonitoring Services of America IncGroup PAC ID 1850452905, 19 clinicians
WakemedGroup PAC ID 7315937612, 72 clinicians
Aspirus Medical Group, Inc.Group PAC ID 1052223625, 272 clinicians
Providence Health and Services MtGroup PAC ID 6608786306, 358 clinicians

Practice addresses (Care Compare)

1200 B Gale Wilson Blvd
Fairfield, CA 94533-3552
Phone (707) 429-3600

1825 Logan Ave
Waterloo, IA 50703-1916
Phone (866) 266-8576

217 S 3Rd St
Danville, KY 40422-1823
Phone (866) 226-8576

24 S Weber St
Suite 200
Colorado Springs, CO 80903-1928
Phone (866) 226-8576

3000 New Bern Ave
Raleigh, NC 27610-1231
Phone (919) 350-8000

350 N Wall St
Kankakee, IL 60901-2901
Phone (815) 933-1671

425 Pine Ridge Blvd
Suite 300
Wausau, WI 54401-4124
Phone (715) 847-2070

601 W Spruce St
Suite J
Missoula, MT 59802-4047
Phone (406) 327-3100

777 Bannock St
Denver, CO 80204-4507
Phone (303) 436-6000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A131704CAMDNeurology with Special Qualifications in Child Neurology Physician
01083335AINMDNeurology with Special Qualifications in Child Neurology Physician
MED-PHYS-LIC-79662MTMDNeurology with Special Qualifications in Child Neurology Physician
2023-02902NCMDNeurology with Special Qualifications in Child Neurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St Clair Medical Services, Inc CurrentSince Oct 21, 2022 Accepting new patients
The Health and Hospital Corporation of Marion County Student in an Organized Health Care Education/Training Program CurrentSince May 26, 2020 Accepting new patients
Grady Memorial Hospital Corporation CurrentSince Dec 11, 2023 Accepting new patients
Providence Health & Services Mt Current Accepting new patients
Wakemed CurrentSince Nov 8, 2023 Accepting new patients
Providence Health & Services Mt CurrentSince Jan 24, 2024 Accepting new patients
Monument Health Rapid City Hospital Inc CurrentSince Sep 14, 2024 Accepting new patients
Children's Hospital Los Angeles Medical Group, Inc. CurrentSince Sep 1, 2017 Accepting new patients
Mercy Specialty Clinic CurrentSince Aug 22, 2024 Accepting new patients
Monument Health Rapid City Hospital, Inc Current Accepting new patients
Grady Memorial Hospital Corporation CurrentSince Dec 11, 2023 Accepting new patients
Monument Health Rapid City Hospital, Inc CurrentSince Sep 14, 2024 Accepting new patients
Mercy Specialty Clinic CurrentSince Aug 22, 2024 Accepting new patients
St Clair Medical Services, Inc. Current Accepting new patients
County of Ventura CurrentSince Feb 1, 2025 Accepting new patients
Denver Health and Hospital Authority CurrentSince Aug 1, 2020 Accepting new patients
County of Ventura CurrentSince Feb 1, 2025 Accepting new patients
County of Ventura Current Accepting new patients
St Clair Medical Services Inc CurrentSince Oct 21, 2022 Accepting new patients
Denver Health and Hospital Authority CurrentSince Aug 1, 2020 Accepting new patients
Northbay Healthcare Group CurrentSince Aug 18, 2020 Accepting new patients
Wakemed CurrentSince Nov 8, 2023 Accepting new patients
Northbay Healthcare Group CurrentSince Aug 18, 2020 Accepting new patients
Medical Associates of Clinton, Iowa P.L.C. Current Accepting new patients
The Health and Hospital Corporation of Marion County CurrentSince May 26, 2020 Accepting new patients
Arthur M. Blank Hospital, Inc. Past Accepting new patients
Grady Memorial Hospital Past Accepting new patients
Mercy Medical Center-Clinton, Inc Past Accepting new patients
Pasadena Hospital Association, LTD. Past Accepting new patients
West Coast Neurology, Inc PastSince Apr 6, 2025 Accepting new patients
The Health and Hospital Corporation of Marion County Past Accepting new patients
Cheyenne Regional Physicians Group, LLC PastSince Dec 12, 2021 Accepting new patients
Southern California Neurosurgical Associates, Inc Past Accepting new patients
Scottish Rite Childrens Medical Ctr Past Accepting new patients

Locations

1200 B Gale Wilson Blvd
Fairfield, CA 94533
Phone (707) 429-3600

4650 W Sunset Blvd
Los Angeles, CA 90027
Phone (323) 361-2122

1000 Nut Tree Rd
Vacaville, CA 95687
Phone (707) 446-4000

300 Hillmont Ave
Ventura, CA 93003
Phone (805) 652-6000

800 S Victoria Ave
#L4640
Ventura, CA 93009

777 Bannock St
Denver, CO 80204

80 Jesse Hill Jr Dr SE
Atlanta, GA 30303
Phone (404) 616-4370

80 Jesse Hill Jr Dr SE
#26019
Atlanta, GA 30303
Phone (404) 616-2219

1410 N 4th St
Clinton, IA 52732
Phone (563) 244-5555

915 13th Ave N
Clinton, IA 52732
Phone (319) 243-2511

720 Eskenazi Ave
Indianapolis, IN 46202
Phone (317) 880-0000

720 Eskenazi Ave
Bldg 5TH
Indianapolis, IN 46202
Phone (317) 880-3818

500 W Broadway St
Missoula, MT 59802
Phone (406) 327-1918

500 W Broadway St
Ste 320
Missoula, MT 59802
Phone (406) 329-2945

601 W Spruce St
Ste J
Missoula, MT 59802
Phone (406) 327-3100

120 Healthplex Way
Apex, NC 27502
Phone (919) 235-6525

1900 Kildaire Farm Rd
Cary, NC 27518
Phone (919) 350-2300

400 US 70 Hwy E
Garner, NC 27529
Phone (919) 235-6400

10000 Falls of Neuse Rd
Raleigh, NC 27614
Phone (919) 350-1300

3000 New Bern Ave
Raleigh, NC 27610
Phone (919) 350-7000

8001 T W Alexander Dr
Raleigh, NC 27617
Phone (919) 350-0953

1000 Bower Hill Rd
Pittsburgh, PA 15243
Phone (412) 344-6600

1050 Bower Hill Rd
Ste 101
Pittsburgh, PA 15243
Phone (412) 343-1770

353 Fairmont Blvd
Rapid City, SD 57701
Phone (605) 719-1000

677 Cathedral Dr
Ste 200
Rapid City, SD 57701
Phone (605) 343-9224

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: jquerubin237202@direct.dhha.org
  • Direct secure messaging: jquerubin30174@hhcs.direct-ci.com
  • Direct secure messaging: jquerubin4030497@direct.trinity-health.org
  • Direct secure messaging: jyes.querubin@ventura.cernerdirect.com
  • Direct secure messaging: jyesquerubin@wcn.allscriptsdirect.net

Organizations & group practices 37

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

View all 37

Hospital & facility affiliations 25

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

View all 25

NPI Registry JSON

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

{
    "created_epoch": "1334880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762214400000",
    "number": "1154688604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1015 N 1ST AVE APT A",
            "city": "ARCADIA",
            "state": "CA",
            "postal_code": "910067401",
            "telephone_number": "626-598-3770",
            "fax_number": "626-598-3797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1015 N 1ST AVE",
            "city": "ARCADIA",
            "state": "CA",
            "postal_code": "910067401",
            "telephone_number": "626-598-3770"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "601 W Spruce St Ste J",
            "address_purpose": "LOCATION",
            "city": "Missoula",
            "state": "MT",
            "postal_code": "598024047",
            "country_code": "US",
            "telephone_number": "406-327-3350",
            "fax_number": "406-327-3355",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "720 Eskeanzi Ave",
            "address_purpose": "LOCATION",
            "city": "Indianapolis",
            "state": "IN",
            "postal_code": "462025166",
            "country_code": "US",
            "telephone_number": "317-880-7666",
            "fax_number": "317-880-0448",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "300 Hillmont Ave",
            "address_purpose": "LOCATION",
            "city": "Ventura",
            "state": "CA",
            "postal_code": "930031651",
            "country_code": "US",
            "telephone_number": "805-652-6000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3000 New Bern Ave",
            "address_purpose": "LOCATION",
            "city": "Raleigh",
            "state": "NC",
            "postal_code": "276101231",
            "country_code": "US",
            "telephone_number": "919-350-8000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "QUERUBIN",
        "first_name": "JYES",
        "middle_name": "ANNEMARIE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-04-20",
        "last_updated": "2025-11-04",
        "certification_date": "2025-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0402X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology",
            "state": "IN",
            "license": "01083335A",
            "primary": false
        },
        {
            "code": "2084N0402X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology",
            "state": "CA",
            "license": "A131704",
            "primary": true
        },
        {
            "code": "2084N0402X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology",
            "state": "NC",
            "license": "2023-02902",
            "primary": false
        },
        {
            "code": "2084N0402X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology",
            "state": "MT",
            "license": "MED-PHYS-LIC-79662",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jquerubin@westcoastneurology.com",
            "affiliation": "N",
            "address_1": "720 Eskeanzi Ave",
            "city": "Indianapolis",
            "state": "IN",
            "country_code": "US",
            "postal_code": "462025166",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jyes.querubin@ventura.cernerdirect.com",
            "affiliation": "N",
            "endpointDescription": "Cerner Direct Secure Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Direct Information",
            "address_1": "300 Hillmont Ave",
            "city": "Ventura",
            "state": "CA",
            "country_code": "US",
            "postal_code": "930031651",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Arcadia, CA

Sources for this page

Verify at the official NPI Registry.