Active NPI
Ange J Lobue, M.D.,M.P.H.,B.S.PH.
- Psychiatry Physician
- Eureka, CA
National Provider Identifier
1619188315
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- C27176
- Practice address
- 525 2ND St
Suite 300
Eureka, CA 95501-0437 - Phone
- (707) 444-1616
- NPI assigned
- May 24, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurodevelopmental Disabilities Physician | 2084P0005X | C72176 | CA | |
| Psychiatry Physician | 2084P0800X | C27176 | CA | Primary |
Addresses
Primary practice location
525 2ND St
Suite 300
Eureka, CA 95501-0437
Mailing address
525 2ND St
Suite 300
Eureka, CA 95501-0437
Phone (707) 444-1616
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150903000743 | CA | Order and Referring Only - Psychiatry | 6709192834 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C72176 | CA | MD | Neurodevelopmental Disabilities Physician |
| C27176 | CA | MD | Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179964800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1184198400000",
"number": "1619188315",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "525 2ND ST",
"address_2": "SUITE 300",
"city": "EUREKA",
"state": "CA",
"postal_code": "955010437",
"telephone_number": "707-444-1616"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "525 2ND ST",
"address_2": "SUITE 300",
"city": "EUREKA",
"state": "CA",
"postal_code": "955010437",
"telephone_number": "707-444-1616"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOBUE",
"first_name": "ANGE",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "M.D.,M.P.H.,B.S.PH.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-05-24",
"last_updated": "2007-07-12",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0005X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurodevelopmental Disabilities",
"state": "CA",
"license": "C72176",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "CA",
"license": "C27176",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Eureka, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2007; 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.