Individual provider Active NPI

John R Lubben, MD

  • Anesthesiology Physician
  • Carmel, CA
National Provider Identifier
1316915622
Registry record updated Oct 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
G66896 Issued in CA
Practice address
24930 Outlook Dr
Carmel, CA 93923-8939
Phone
(831) 250-1787
Fax
(888) 283-7270
NPI assigned
Mar 10, 2006
Last updated
Oct 15, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Pain Medicine Physician 208VP0014X G66896 CA
Anesthesiology Physician 207L00000X G66896 CA Primary

Addresses

Primary practice location

24930 Outlook Dr
Carmel, CA 93923-8939

Mailing address

PO Box 7096
Stockton, CA 95267-0096
Phone (209) 956-7725

Other identifiers 1

IdentifierTypeStateIssuer
00G668960MedicaidCA

Electronic endpoints 1

TypeEndpointUseAffiliation
SOAP URL https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq Health Information Exchange (HIE) Southern California Permanente Medical Group

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20040609001375 CA Practitioner - AnesthesiologyPractitioner - Interventional Pain ManagementPractitioner - Pain Management 0446233597 Reassigns benefits to 4 organizations
Practice locations: Freedom, CA; Monterey, CA; Capitola, CA

Care Compare profile

Medicare Care Compare
Specialty
AnesthesiologyAlso: Interventional Pain Management, Pain Management
Education
Washington University School of Medicine, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ventana Anesthesia Associates IncGroup PAC ID 8820112618, 24 clinicians

Practice addresses (Care Compare)

23625 Holman Hwy
Monterey, CA 93940-5902
Phone (831) 624-5311

4647 Zion Ave
San Diego, CA 92120-2507
Phone (619) 528-5000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
83 of 100Reported as group
Quality
80
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G66896CAMDInterventional Pain Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Southern California Permanente Medical Group CurrentSince Aug 24, 2024 Accepting new patients
Monterey Anesthesia Professionals Anesthesiology CurrentSince Jul 17, 2017 Accepting new patients
Southern Monterey County Memorial Hospital CurrentSince Jul 1, 2017 Accepting new patients
Southern California Permanente Medical Group CurrentSince Aug 24, 2024 Accepting new patients
Southern Monterey County Memorial Hospital CurrentSince Jul 1, 2017 Accepting new patients
Ventana Anesthesia Associates Inc Anesthesiology CurrentSince Oct 4, 2017 Accepting new patients
Southern California Permanente Medical Group Current Accepting new patients
Pain Medicine & Interventions a Professional Medical Corporation Past Accepting new patients
Julie Sowerby, Inc., a Medical Corporation Past Accepting new patients
Community Hospital of the Monterey Peninsula Interventional Pain Medicine Past Accepting new patients

Locations

2265 41st Ave
Capitola, CA 95010
Phone (831) 262-2252

2265 41st Ave
Ste 100
Capitola, CA 95010

160 Green Valley Rd
Freedom, CA 95019
Phone (831) 763-9700

160 Green Valley Rd
Ste 101
Freedom, CA 95019
Phone (831) 636-4915

210 Canal St
King City, CA 93930
Phone (931) 385-7100

300 Canal St
King City, CA 93930
Phone (831) 385-6000

2 Upper Ragsdale Dr
Ste B160
Monterey, CA 93940
Phone (831) 333-4000

23 Upper Ragsdale Dr
Monterey, CA 93940

23625 Wr Holman Hwy
Monterey, CA 93940
Phone (831) 622-2708

665 Munras Ave
Ste 100
Monterey, CA 93940
Phone (831) 375-2486

966 Cass St
Ste 150
Monterey, CA 93940
Phone (831) 649-1126

1441 Constitution Blvd
Salinas, CA 93906
Phone (831) 261-8090

4647 Zion Ave
San Diego, CA 92120
Phone (619) 528-3038

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/JDEGCD

Organizations & group practices 10

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.

Hospital & facility affiliations 2

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

NPI Registry JSON

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

{
    "created_epoch": "1141948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728950400000",
    "number": "1316915622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7096",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952670096",
            "telephone_number": "209-956-7725",
            "fax_number": "209-956-7733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24930 OUTLOOK DR",
            "city": "CARMEL",
            "state": "CA",
            "postal_code": "939238939",
            "telephone_number": "831-250-1787",
            "fax_number": "888-283-7270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUBBEN",
        "first_name": "JOHN",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-10",
        "last_updated": "2024-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "CA",
            "license": "G66896",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "CA",
            "license": "G66896",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G668960",
            "state": "CA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq",
            "affiliation": "Y",
            "endpointDescription": "Carequality",
            "affiliationName": "Southern California Permanente Medical Group",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "C-CDA",
            "address_1": "4647 Zion Ave",
            "city": "San Diego",
            "state": "CA",
            "country_code": "US",
            "postal_code": "921202507",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Carmel, CA

Sources for this page

Verify at the official NPI Registry.