Douglas J. Kubo, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

T10091 Issued in CA

Practice address

2409 15TH St
Sacramento, CA 95818-2238

Phone

(916) 443-8034

Fax

(916) 442-6010

NPI assigned

Jan 20, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

Practice roles

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.

• Kubo & Kubo, O.D.S

  • Optometrist
  • Sacramento, CA
  • NPI 1386827087
  NPD (past) Authorized official
• Jessica Huynh OD PC

  • Optometrist
  • Sacramento, CA
  • NPI 1275937955
  NPD (past)

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

{
    "created_epoch": "1137715200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1279065600000",
    "number": "1689654923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2409 15TH ST",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958182238",
            "telephone_number": "916-443-8034",
            "fax_number": "916-442-6010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2409 15TH ST",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958182238",
            "telephone_number": "916-443-8034",
            "fax_number": "916-442-6010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUBO",
        "first_name": "DOUGLAS",
        "middle_name": "J.",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-20",
        "last_updated": "2010-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "T10091",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "YYY34870Y",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Arielle Kubes, PA
• Sravanthi Kubireddi, MD
• Kubler Chiropractic, Inc
• Nicholas Kubler, DC
• Kubo & Kubo, O.D.S
• Carly Kubochi
• Alexander Kubodera
• Brittney Mariko Kubota, PHARMD
• Glenn T. Kubota III, DDS
• Junko Kubota

• Optometrist in Sacramento, CA
• Providers in Sacramento, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.