Active NPI
Michael W. Juby, MD
- Emergency Medicine Physician
- Jackson, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- G79396
- Practice address
- 200 Mission Boulevard
Jackson, CA 95642-2564 - Phone
- (209) 223-7500
- NPI assigned
- Aug 16, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | G79396 | CA | Primary |
Addresses
Primary practice location
200 Mission Boulevard
Jackson, CA 95642-2564
Mailing address
PO Box 660520
Arcadia, CA 91066-0520
Phone (626) 447-0296
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00G793960 | Medicaid | CA |
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
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- University of Nevada School of Medicine, 1992
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
200 Mission Blvd
Jackson, CA 95642-2564
Phone (209) 223-7500
2755 Herndon Ave
Clovis, CA 93611-6800
Phone (559) 324-4000
Hospital & facility affiliations
- Sutter Amador Hospital
- Plumas District Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Quality
- 99.7
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G79396 | CA | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cep America - California | Emergency Medicine | Current | Accepting new patients |
| Cep America-California | Emergency Medicine | Current | Accepting new patients |
| Cep America - California | Emergency Medicine | Current | Accepting new patients |
| Chavez Emergency Physicians Medical Group, Inc. | Emergency Medicine | Current | Accepting new patients |
| Regional Radiological Associates, Inc. a Medical Group | Past | Accepting new patients | |
| Southern Monterey County Memorial Hospital | Past | Accepting new patients |
Locations
2755 Herndon Ave
Clovis, CA 93611
Phone (559) 323-4000
1205 E North St
Manteca, CA 95336
Phone (209) 239-8301
1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423
1065 Bucks Lake Rd
Quincy, CA 95971
Phone (530) 283-2121
4445 Magnolia Ave
Riverside, CA 92501
Phone (800) 498-7156
Organizations & group practices 6
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.
-
- Emergency Medicine Physician
- San Francisco, CA
- NPI 1023063542
-
- Emergency Medicine Physician
- Quincy, CA
- NPI 1689045015
-
- Emergency Medicine Physician
- Watsonville, CA
- NPI 1831587179
-
- Emergency Medicine Physician
- Murrieta, CA
- NPI 1588552848
-
- Diagnostic Radiology Physician
- Redding, CA
- NPI 1649202888
-
- Critical Access Hospital
- King City, CA
- NPI 1114917564
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Quincy, CA
- NPI 1326094269
-
- General Acute Care Hospital
- Jackson, CA
- NPI 1447494323
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155686400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1485302400000",
"number": "1699888263",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 660520",
"city": "ARCADIA",
"state": "CA",
"postal_code": "910660520",
"telephone_number": "626-447-0296",
"fax_number": "626-623-1227"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 MISSION BOULEVARD",
"city": "JACKSON",
"state": "CA",
"postal_code": "956422564",
"telephone_number": "209-223-7500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JUBY",
"first_name": "MICHAEL",
"middle_name": "W.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-16",
"last_updated": "2017-01-25",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "CA",
"license": "G79396",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00G793960",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Jackson, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2017; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.