Dr.Jennifer Hubert, Inc

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

DR.JENNIFER HUBERT, INC

Practice address

4357 Montgomery Dr Ste G
Santa Rosa, CA 95405-5304

Phone

(707) 380-1838

NPI assigned

Mar 22, 2021

Organization subpart

No

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

Authorized official

Name

Dr. Jennifer Hubert, D.O.NPI 1942310313

Title

President

Phone

(707) 380-1838

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jennifer Hubert, D.O.

  • Internal Medicine Physician
  • Santa Rosa, CA
  • NPI 1942310313
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1616371200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686614400000",
    "number": "1376129148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2751 4TH ST # 185",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954054726",
            "telephone_number": "707-380-1838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4357 MONTGOMERY DR STE G",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954055304",
            "telephone_number": "707-380-1838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR.JENNIFER HUBERT, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-22",
        "last_updated": "2023-06-13",
        "certification_date": "2023-06-08",
        "status": "A",
        "authorized_official_last_name": "HUBERT",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "707-380-1838",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Internal Medicine Physician in Santa Rosa, CA
• Providers in Santa Rosa, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.