Patricia L. Kubo MD Inc

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

G271190 Issued in CA

Legal business name

PATRICIA L. KUBO MD INC

Practice address

1665 Dominican Way
Santa Cruz, CA 95065-1528

Phone

(831) 476-6943

NPI assigned

May 24, 2007

Last updated

Oct 17, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Patricia L Kubo, MDNPI 1144385253

Title

President

Phone

(831) 476-6943

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Patricia L Kubo, MD

  • Anesthesiology Physician
  • Santa Cruz, CA
  • NPI 1144385253
  Authorized official Same address or phone

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

{
    "created_epoch": "1179964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1413504000000",
    "number": "1316157431",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2757",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928590757",
            "telephone_number": "714-973-2650",
            "fax_number": "714-973-2655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1665 DOMINICAN WAY",
            "city": "SANTA CRUZ",
            "state": "CA",
            "postal_code": "950651528",
            "telephone_number": "831-476-6943"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATRICIA L. KUBO MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-24",
        "last_updated": "2014-10-17",
        "status": "A",
        "authorized_official_last_name": "KUBO",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "831-476-6943",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": "CA",
            "license": "G271190",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G271190",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Binita B Patel, PHARMD
• Niyati Snehal Patel, DDS
• Punit Mayankkumar Patel, D.O.
• Shivam Patel, DMD
• Orlando Gilberto Patlan
• Laura Patricio
• Brandy Lynn Patterson, RN MSN
• Jessica Patterson
• Dennis Patton, M.S. A.B.D. M.F.T.I.
• Mary Judith Patton

• Anesthesiology Physician in Santa Cruz, CA
• Providers in Santa Cruz, CA by specialty
• Anesthesiology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2014; 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.