Active NPI
Ionela O Hubbard, LAC, DOM, IFMCP
- Acupuncturist
- North Tustin, CA
National Provider Identifier
1790711935
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- AC4756
- Practice address
- 12341 Newport Ave Ste A200
North Tustin, CA 92705-8202 - Phone
- (949) 726-0707
- Fax
- (949) 258-8726
- NPI assigned
- Jun 22, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | AC4756 | CA | Primary |
| Nutrition Education Nutritionist | 133NN1002X | AC4756 | CA |
Addresses
Primary practice location
12341 Newport Ave Ste A200
North Tustin, CA 92705-8202
Mailing address
57 Plymouth
Irvine, CA 92620-2642
Phone (909) 478-0600
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790711935 | Other | CA | CMV |
| AC0047560 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AC4756 | CA | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150934400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1721606400000",
"number": "1790711935",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "57 PLYMOUTH",
"city": "IRVINE",
"state": "CA",
"postal_code": "926202642",
"telephone_number": "909-478-0600",
"fax_number": "909-478-0618"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12341 NEWPORT AVE STE A200",
"city": "NORTH TUSTIN",
"state": "CA",
"postal_code": "927058202",
"telephone_number": "949-726-0707",
"fax_number": "949-258-8726"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUBBARD",
"first_name": "IONELA",
"middle_name": "O",
"credential": "LAC, DOM, IFMCP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-06-22",
"last_updated": "2024-07-22",
"certification_date": "2024-07-22",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "CA",
"license": "AC4756",
"primary": true
},
{
"code": "133NN1002X",
"taxonomy_group": "",
"desc": "Nutritionist, Nutrition, Education",
"state": "CA",
"license": "AC4756",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CMV",
"identifier": "1790711935",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "AC0047560",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in North Tustin, CA
- Debbie Bristol and Associates Counseling Services (Counseling Center)
- Gabriel Carabulea, M.D., Inc.
- William Leo Gaffney, M.D.
- Sula Goldenberg, LMFT
- Susan Zakaria Haggag, M.S., ED.D. CP
- Internal Medicine Physicians of Newport Beach, Inc.
- Jeanne Jones-Dunham, LCSW
- Jennifer Endo Kim
- Erica M. Kuhn, DO
- Caroline La, L.AC.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.