Jermaine J Stubblefield, PA

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

PA20823 Issued in CA

Practice address

2 Medical Plaza
Suite 130
Roseville, CA 95661-3038

Phone

(916) 797-4725

Fax

(916) 797-4716

NPI assigned

Apr 13, 2010

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jstubblefield117834@direct.ochin.org

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.

• County of Monterey

  • Pediatrics Physician
  • Salinas, CA
  • NPI 1457303356
  Medicare reassignment
• Mogo Urgent Care

  • Urgent Care Clinic/Center
  • Monterey, CA
  • NPI 1770145682
  Medicare reassignment
• County of Monterey

  • Family Medicine Physician
  • Marina, CA
  • NPI 1912310855
  NPD
• County of Monterey Behavioral Health

  • Adult Mental Health Clinic/Center
  • Salinas, CA
  • NPI 1053126003
  NPD

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

{
    "created_epoch": "1271116800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1297382400000",
    "number": "1356667539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 MEDICAL PLAZA",
            "address_2": "SUITE 130",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956613038",
            "telephone_number": "916-797-4725",
            "fax_number": "916-797-4716"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 MEDICAL PLAZA",
            "address_2": "SUITE 130",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956613038",
            "telephone_number": "916-797-4725",
            "fax_number": "916-797-4716"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STUBBLEFIELD",
        "first_name": "JERMAINE",
        "middle_name": "J",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-04-13",
        "last_updated": "2011-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CA",
            "license": "PA20823",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "PA20823",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pamela Tresnon Strong, PT
• Amy Strouse, D.O.
• Jean Marie Struthers, MD
• Brandon Stryder, MD
• George Richard Stubblefield, D.C.
• Michael James Stubblefield
• Stacey L Stubblefield, M. D.
• Jessica Elizabeth Stump
• Lillian Rose Sturmer, DO
• Scott Michael Stutz, MFT

• Family Medicine Physician in Roseville, CA
• Providers in Roseville, 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 Feb 11, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.