Individual provider Active NPI

Jessica Hubbs, M.D.

  • Internal Medicine Physician
  • Modesto, CA
National Provider Identifier
1740675255
Registry record updated Jun 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
NOT YET OBTAINED Issued in CA
Practice address
3509 Coffee Rd Ste D3
Modesto, CA 95355-1357
Phone
(323) 201-6800
NPI assigned
Apr 1, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X NOT YET OBTAINED CA Primary

Addresses

Primary practice location

3509 Coffee Rd Ste D3
Modesto, CA 95355-1357

Mailing address

3509 Coffee Rd Ste D3
Modesto, CA 95355-1357

Other practice location 1

1720 E Cesar E Chavez Ave
Los Angeles, CA 90033-2414
Phone (323) 268-5000

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190125002425 CA Practitioner - Internal Medicine 2264779479 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
NOT YET OBTAINEDCAMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Access Primary Care Physicians, Inc. Internal Medicine CurrentSince Jan 1, 2023 Accepting new patients
Ethos Care Management Internal Medicine CurrentSince Dec 1, 2025 Accepting new patients
Rural Physicians Group-Pannu PLLC Internal Medicine Past Accepting new patients

Locations

9209 Colima Rd
Ste 4400
Whittier, CA 90605
Phone (562) 907-0777

Interoperability endpoints

  • Direct secure messaging: jhubbs@yourcarecommunity.org
  • Direct secure messaging: jhubbs@cinq-nyipa.medentdirect.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1427846400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561161600000",
    "number": "1740675255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3509 COFFEE RD STE D3",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953551357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3509 COFFEE RD STE D3",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953551357",
            "telephone_number": "323-201-6800"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1720 E Cesar E Chavez Ave",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900332414",
            "country_code": "US",
            "telephone_number": "323-268-5000",
            "fax_number": "323-881-8679",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HUBBS",
        "first_name": "JESSICA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-04-01",
        "last_updated": "2019-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "NOT YET OBTAINED",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Modesto, CA

Sources for this page

Verify at the official NPI Registry.