Individual provider Active NPI

Adam David Hubert, PA

  • Physician Assistant
  • Manteca, CA
National Provider Identifier
1245920479
Registry record updated May 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA68076 Issued in CA
Practice address
250 Northgate Dr Ste 102
Manteca, CA 95336-3161
Phone
(209) 239-5299
NPI assigned
May 10, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 1, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA68076 CA Primary

Addresses

Primary practice location

250 Northgate Dr Ste 102
Manteca, CA 95336-3161

Mailing address

250 Northgate Dr Ste 102
Manteca, CA 95336-3161
Phone (209) 722-4842

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS, CA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20231228001201 KS Practitioner - Physician Assistant 5991155236 Reassigns benefits to 2 organizations
I20260506001499 CA Practitioner - Physician Assistant 5991155236 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hylo Urgent Care Clinics, P.a.Group PAC ID 7618042698, 14 clinicians

Practice addresses (Care Compare)

3560 N Maize Rd
Suite 106
Wichita, KS 67205-7393
Phone (316) 669-3851

4722 W Kellogg Dr
Wichita, KS 67209-2508
Phone (316) 440-2565

5838 E Central Ave
Wichita, KS 67208-4203
Phone (316) 440-4595

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA68076CAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Hylo Urgent Care Clinics, P.a. CurrentSince Nov 24, 2024 Accepting new patients
Hylo Urgent Care Clinics, P.a. CurrentSince Nov 24, 2024 Accepting new patients

Locations

4722 W Kellogg Dr
Wichita, KS 67209
Phone (316) 440-2565

3560 N Maize Rd
Ste 106
Wichita, KS 67205
Phone (316) 669-3851

5838 E Central Ave
Wichita, KS 67208
Phone (316) 440-4594

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1683676800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777593600000",
    "number": "1245920479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 NORTHGATE DR STE 102",
            "city": "MANTECA",
            "state": "CA",
            "postal_code": "953363161",
            "telephone_number": "209-722-4842"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 NORTHGATE DR STE 102",
            "city": "MANTECA",
            "state": "CA",
            "postal_code": "953363161",
            "telephone_number": "209-239-5299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUBERT",
        "first_name": "ADAM",
        "middle_name": "DAVID",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-05-10",
        "last_updated": "2026-05-01",
        "certification_date": "2026-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA68076",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manteca, CA

Sources for this page

Verify at the official NPI Registry.