Active NPI
Susan M Kubica MD Professional Corporation
- Clinic/Center
- Monterey, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinic/Center
- Legal business name
- SUSAN M KUBICA MD PROFESSIONAL CORPORATION
- Practice address
- 1000 8TH St
Suite 101
Monterey, CA 93940-3664 - Phone
- (831) 372-1188
- Fax
- (831) 372-1181
- NPI assigned
- Apr 9, 2007
- Organization subpart
- No
Authorized official
NPPES NPI Registry- Name
- Dr. Susan M Kubica, MD
- Title
- Physician
- Phone
- (831) 372-1188
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 05D2038116 | Susan M Kubica MD | Certificate of waiver | Mar 12, 2028 |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20070717000386 | CA | Part B Supplier - Clinic/Group Practice | 6608976840 |
Receives reassigned benefits from 2 practitioners Practice locations: Monterey, CA |
National Provider Directory
National Provider DirectoryLocations
1000 8th St
Ste 101
Monterey, CA 93940
Phone (831) 372-1188
1000 8th St
Ste 100
Monterey, CA 93940
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
1000 8TH St
Suite 101
Monterey, CA 93940-3664
Mailing address
1000 8TH St
Suite 101
Monterey, CA 93940-3664
Phone (831) 372-1188
Other identifiers 1
NPPES NPI Registry| Identifier | Type | State | Issuer |
|---|---|---|---|
| ZZZ05146Z | Other | CA | MEDICARE PROVIDER |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Nov 27, 2007.
{
"created_epoch": "1176076800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1196121600000",
"number": "1700909256",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1000 8TH ST",
"address_2": "SUITE 101",
"city": "MONTEREY",
"state": "CA",
"postal_code": "939403664",
"telephone_number": "831-372-1188",
"fax_number": "831-372-1181"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 8TH ST",
"address_2": "SUITE 101",
"city": "MONTEREY",
"state": "CA",
"postal_code": "939403664",
"telephone_number": "831-372-1188",
"fax_number": "831-372-1181"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SUSAN M KUBICA MD PROFESSIONAL CORPORATION",
"organizational_subpart": "NO",
"enumeration_date": "2007-04-09",
"last_updated": "2007-11-27",
"status": "A",
"authorized_official_last_name": "KUBICA",
"authorized_official_first_name": "SUSAN",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "PHYSICIAN",
"authorized_official_telephone_number": "831-372-1188",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PROVIDER",
"identifier": "ZZZ05146Z",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Monterey, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.