Koji Kubo, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

A95628 Issued in CA

Practice address

1700 N Rose Ave
Suite 210
Oxnard, CA 93030-3790

Phone

(805) 988-8058

Fax

(805) 983-0803

NPI assigned

Aug 9, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Specialty

Family Practice

Education

Other, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Hospital & facility affiliations

• MC Home Health Services, Inc Home health agency, Walnut, CA, CCN 058172
• Mission Home Health of Ventura, LLC Home health agency, Oxnard, CA, CCN 557219
• St Johns Regional Medical Center Hospital, Oxnard, CA, CCN 050082

Merit-based Incentive Payment System (MIPS)

Final score

99.64 of 100Reported as apm

Quality

86.27

Promoting interoperability

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

• Dignity Health

  • General Acute Care Hospital
  • Oxnard, CA
  • NPI 1073665360
  Care Compare affiliation
• MC Home Health Services, Inc

  • Home Health Agency
  • Walnut, CA
  • NPI 1528040284
  Care Compare affiliation
• Mission Home Health of Ventura LLC

  • Home Health Agency
  • Oxnard, CA
  • NPI 1871965970
  Care Compare affiliation

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

{
    "created_epoch": "1155081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1299456000000",
    "number": "1295745180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10968",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924230968",
            "telephone_number": "805-988-8058",
            "fax_number": "805-983-0803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 N ROSE AVE",
            "address_2": "SUITE 210",
            "city": "OXNARD",
            "state": "CA",
            "postal_code": "930303790",
            "telephone_number": "805-988-8058",
            "fax_number": "805-983-0803"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUBO",
        "first_name": "KOJI",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-09",
        "last_updated": "2011-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A95628",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1295745180",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1831365667",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BS/TRIWEST",
            "identifier": "ZZZ50355Y",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A956280",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Katherine Caroline Kress
• Christina Marie Kromberg, MA
• Marnie Kruschen
• Jan Kruse
• Dawn Krytusa, D.O.
• Jordan Kuch
• Yuko Kukihara, LCSW
• Shantara Kull
• Melissa Jane Kunz, RADT
• Karen Suzette Kurtz, P.T.

• Family Medicine Physician in Oxnard, CA
• Providers in Oxnard, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2011; 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.

Verify at the official NPI Registry.