Active NPI
John R Lubben, MD
- Anesthesiology Physician
- Carmel, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- G66896
- 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, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00G668960 | Medicaid | CA |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology
- Education
- Washington University School of Medicine, 1986
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
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 100
- Quality
- 80
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G66896 | CA | MD | Interventional Pain Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southern California Permanente Medical Group | Current | Accepting new patients | |
| Monterey Anesthesia Professionals | Anesthesiology | Current | Accepting new patients |
| Southern Monterey County Memorial Hospital | Current | Accepting new patients | |
| Southern California Permanente Medical Group | Current | Accepting new patients | |
| Southern Monterey County Memorial Hospital | Current | Accepting new patients | |
| Ventana Anesthesia Associates Inc | Anesthesiology | Current | 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
- 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.
-
- Health Maintenance Organization
- Baldwin Park, CA
- NPI 1770515280
-
- Anesthesiology Physician
- Monterey, CA
- NPI 1699094409
-
- Anesthesiology Physician
- Salinas, CA
- NPI 1073935250
-
dba Mee Memorial Healthcare System
- Critical Access Hospital
- King City, CA
- NPI 1114917564
-
dba Target Clinic Medical Associates of Southern California
- Health Maintenance Organization
- San Diego, CA
- NPI 1023425972
-
- Health Maintenance Organization
- Santa Clarita, CA
- NPI 1316409410
-
dba Broadway Medical Clinic
- Clinic/Center
- King City, CA
- NPI 1336389600
-
- General Acute Care Hospital
- Monterey, CA
- NPI 1932197258
Interventional Pain Medicine
-
dba Northern California Invasive Pain Management Medical Group
- Pain Medicine (Anesthesiology) Physician
- Redding, CA
- NPI 1851320782
-
- Specialist
- Freedom, CA
- NPI 1699801290
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Psychiatric Hospital Unit
- Monterey, CA
- NPI 1679562169
-
- General Acute Care Hospital
- Monterey, CA
- NPI 1932197258
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2024; 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.