John Kubai

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

263260 Issued in AZ

Practice address

27699 Jefferson Ave Ste 111
Temecula, CA 92590-2697

Phone

(855) 501-1004

Fax

(951) 244-6014

NPI assigned

Dec 27, 2018

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CA, CO2 enrollments

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 2

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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.

• Ponya Care

  dba Ponya Care LLC

  • Registered Nurse
  • Phoenix, AZ
  • NPI 1952009474
  NPD Authorized official
• Edwards Medical Provider Group

  • Multi-Specialty Clinic/Center
  • Edwards, CO
  • NPI 1619573904
  NPD (past)

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

{
    "created_epoch": "1545868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728604800000",
    "number": "1740752062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27699 JEFFERSON AVE STE 111",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925902697",
            "telephone_number": "855-501-1004",
            "fax_number": "951-244-6014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27699 JEFFERSON AVE STE 111",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925902697",
            "telephone_number": "855-501-1004",
            "fax_number": "951-244-6014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUBAI",
        "first_name": "JOHN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-12-27",
        "last_updated": "2024-10-11",
        "certification_date": "2024-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "95101149",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AZ",
            "license": "263260",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Krkeyan
• Stephanie J Kroeker
• Emma Tylynn Krohne
• Andrew Ku, MD
• Min H Ku, DDS
• Lisa M Kubin
• Mary N Kubota, ANP
• Thomas Joseph Kuchinski, CADC-I / CI07740517
• Amanda Kuelbs
• Michael Kuhn

• Psychiatric/Mental Health Nurse Practitioner in Temecula, CA
• Providers in Temecula, CA by specialty
• Psychiatric/Mental Health Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2024; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.