John Michael Hubbard, PT

Primary specialty

SpecialistTaxonomy code 174400000X

License

PT 12906 Issued in CA

Practice address

28 Monarch Bay PLZ
Dana Point, CA 92629-3460

Phone

(949) 661-8886

NPI assigned

Mar 5, 2009

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1236211200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1225278161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 ODYSSEY",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926183186",
            "telephone_number": "949-727-2192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28 MONARCH BAY PLZ",
            "city": "DANA POINT",
            "state": "CA",
            "postal_code": "926293460",
            "telephone_number": "949-661-8886"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1962 Barranca Parkway",
            "address_purpose": "LOCATION",
            "city": "Irvine",
            "state": "CA",
            "postal_code": "92606",
            "country_code": "US",
            "telephone_number": "949-251-8822",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HUBBARD",
        "first_name": "JOHN",
        "middle_name": "MICHAEL",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-03-05",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "PT 12906",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Edythe M Heus, D.C.
• Kim Nguyen Hoang, RPH
• Soobok L Hong, PHARMACIST
• Olisa Horn-Felix
• Alyssa Ann Houser, L.AC., MSTOM
• Ashley Hudson, RDN
• James R Huettner
• Rebecca Lee Hunter
• Avery Quinn Hurley
• Usha Idnani, M.D.

• Specialist in Dana Point, CA
• Providers in Dana Point, CA by specialty
• Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.