Active NPI
Gregory (Nmi) Hubbard, PA
- Physician Assistant
- San Francisco, CA
National Provider Identifier
1457534257
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 12349PA
- Practice address
- 1375 Mission St
San Francisco, CA 94103-2621 - Phone
- (415) 746-1940
- Fax
- (415) 746-1941
- NPI assigned
- Dec 14, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 12349PA | CA | Primary |
Addresses
Primary practice location
1375 Mission St
San Francisco, CA 94103-2621
Mailing address
2620 Mission St
San Francisco, CA 94110-3102
Phone (415) 746-1940
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 12349PA | Other | CA | STATE LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12349 | CA | MD | Mental Health Counselor |
| 12349PA | CA | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1197590400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1453680000000",
"number": "1457534257",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2620 MISSION ST",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941103102",
"telephone_number": "415-746-1940",
"fax_number": "415-746-1941"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1375 MISSION ST",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941032621",
"telephone_number": "415-746-1940",
"fax_number": "415-746-1941"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUBBARD",
"first_name": "GREGORY",
"middle_name": "(NMI)",
"name_prefix": "Mr.",
"credential": "PA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-12-14",
"last_updated": "2016-01-25",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CA",
"license": "12349PA",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "12349PA",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in San Francisco, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.