Individual provider Active NPI

Jude Fox, PA

  • Medical Physician Assistant
  • Ashland, CA
National Provider Identifier
1548415508
Registry record updated Jan 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA19987 Issued in CA
Practice address
16110 E 14TH St
Ashland, CA 94578-3002
Phone
(510) 471-5880
NPI assigned
Nov 18, 2008
Last updated
Jan 30, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA19987 CA Primary

Addresses

Primary practice location

16110 E 14TH St
Ashland, CA 94578-3002

Mailing address

1290 B St Ste 109
Hayward, CA 94541-2952
Phone (510) 471-5880

Other practice location 1

22331 Mission Blvd
Hayward, CA 94541-3911
Phone (510) 471-5880

Other identifiers 5

IdentifierTypeStateIssuer
1356344758MedicaidCA
ZZZ21461ZOtherCAMEDICARE NHIC
ZZZ73222ZOtherCAMEDICARE NHIC
1598768962MedicaidCA
237310613OtherCABX/BS

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250716000117 CA Order and Referring Only - Physician Assistant 8022523349

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA19987CAMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Tiburcio Vasquez Health Center, Inc. Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: jfox815993@direct.ochin.org

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1226966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769731200000",
    "number": "1548415508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1290 B ST STE 109",
            "city": "HAYWARD",
            "state": "CA",
            "postal_code": "945412952",
            "telephone_number": "510-471-5880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16110 E 14TH ST",
            "city": "ASHLAND",
            "state": "CA",
            "postal_code": "945783002",
            "telephone_number": "510-471-5880"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "22331 Mission Blvd",
            "address_purpose": "LOCATION",
            "city": "Hayward",
            "state": "CA",
            "postal_code": "945413911",
            "country_code": "US",
            "telephone_number": "510-471-5880",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FOX",
        "first_name": "JUDE",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-11-18",
        "last_updated": "2026-01-30",
        "certification_date": "2026-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CA",
            "license": "PA19987",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1356344758",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE NHIC",
            "identifier": "ZZZ21461Z",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE NHIC",
            "identifier": "ZZZ73222Z",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1598768962",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BX/BS",
            "identifier": "237310613",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ashland, CA

Sources for this page

Verify at the official NPI Registry.