Individual provider Active NPI

Judy Dubko, P.A.-C

  • Surgical Physician Assistant
  • Pasadena, CA
National Provider Identifier
1720564974
Registry record updated Jul 11, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
22494 Issued in CA
Practice address
625 S Fair Oaks Ave Ste 300
Pasadena, CA 91105-2672
Phone
(626) 356-3167
Fax
(626) 356-3190
NPI assigned
Jul 11, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X 22494 CA Primary

Addresses

Primary practice location

625 S Fair Oaks Ave Ste 300
Pasadena, CA 91105-2672

Mailing address

625 S Fair Oaks Ave Ste 300
Pasadena, CA 91105-2672
Phone (626) 356-3167

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
I20181113003369 CA Practitioner - Physician Assistant 0446504203 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
The Regents of the University of CaliforniaGroup PAC ID 8921076795, 14 clinicians
Regents of the University of California Los AngelesGroup PAC ID 4587857727, 84 clinicians

Practice addresses (Care Compare)

100 Medical Plaza
Suite 310
Los Angeles, CA 90095-0001
Phone (310) 825-7922

1223 16TH St
Suite 1100
Santa Monica, CA 90404-1217
Phone (424) 259-8791

1801 Wilshire Blvd
Santa Monica, CA 90403-5609
Phone (310) 319-5098

191 S Buena Vista St
Suite 415
Burbank, CA 91505-4541
Phone (818) 333-2555

200 Medical Plaza
Suite 120
Los Angeles, CA 90024-7002
Phone (310) 390-4099

27235 Tourney Rd
Suite 2200
Valencia, CA 91355-5905
Phone (661) 253-5851

Hospital & facility affiliations

  • Henry Mayo Newhall Hospital Hospital, Valencia, CA, CCN 050624

Merit-based Incentive Payment System (MIPS)

Final score
87.51 of 100Reported as group
Quality
79.37
Promoting interoperability
100
Improvement activities
40
Cost
73.65

Merit-based Incentive Payment System (MIPS)

Final score
80.82 of 100Reported as group
Quality
61.6
Promoting interoperability
100
Improvement activities
40
Cost
71.9

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Pasadena Hospital Association, LTD. Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: jdubko635511@direct.uclahealth.org

Organizations & group practices 3

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1531267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531267200000",
    "number": "1720564974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "625 S FAIR OAKS AVE STE 300",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911052672",
            "telephone_number": "626-356-3167",
            "fax_number": "626-356-3190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "625 S FAIR OAKS AVE STE 300",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911052672",
            "telephone_number": "626-356-3167",
            "fax_number": "626-356-3190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUBKO",
        "first_name": "JUDY",
        "name_prefix": "Mrs.",
        "credential": "P.A.-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-11",
        "last_updated": "2018-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "CA",
            "license": "22494",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pasadena, CA

Sources for this page

Verify at the official NPI Registry.