NPIMap

Individual provider Active NPI

Jose Felix Huerta-Ibarra, M.D.

  • Internal Medicine Physician
  • Watsonville, CA
National Provider Identifier
1790791614
Registry record updated Jul 18, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A94115 Issued in CA
Practice address
50 Penny Lane
Watsonville, CA 95076-0007
Phone
(831) 722-2010
Fax
(831) 722-2037
NPI assigned
Jul 31, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2016

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 A94115 CA Primary

Addresses

Primary practice location

50 Penny Lane
Watsonville, CA 95076-0007

Mailing address

50 Penny Lane
Watsonville, CA 95076-0007
Phone (831) 722-2010

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060907000389 CA Practitioner - Internal MedicinePractitioner - Endocrinology 5597769489 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Endocrinology
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

108 Green Valley Rd
Suite a
Freedom, CA 95019-3110
Phone (831) 722-2010

108 Green Valley Rd a
Freedom, CA 95019-3110

5595 Winfield Blvd
Suite 214
San Jose, CA 95123-1220
Phone (408) 224-6211

Hospital & facility affiliations

  • Best Home Health Providers, Inc Home health agency, Hayward, CA, CCN 059546
  • Premier Home Health Providers Inc. Home health agency, San Jose, CA, CCN 059180
  • A Caring Life Home Health, Inc. Home health agency, Tracy, CA, CCN 559629
  • Universal Home Health, LLC Home health agency, Menlo Park, CA, CCN 559541
  • Caringhand Home Health Solutions, Inc Home health agency, Sacramento, CA, CCN 559558
  • Holistic Palliative Care, Inc Hospice, Oakland, CA, CCN 921789
  • A1 Pro Hospice Care Hospice, San Leandro, CA, CCN A11557
  • Meridian Hospice Hospice, Newark, CA, CCN B31687
  • Watsonville Community Hospital Hospital, Watsonville, CA, CCN 050194

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal or shaving of skin growth1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A94115CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Genesis Infinity Medical Group CurrentSince Mar 10, 2022 Accepting new patients
Frederick P. Benson, MD, Inc Past Accepting new patients

Locations

2447 Santa Clara Ave
Ste 305
Alameda, CA 94501
Phone (510) 995-8693

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Ownership & related parties

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Armstrong HospiceOrangevale, CA, CCN A01690 Hospice Contracted Managing Employee Jan 1, 2026
Holistic Palliative Care, Inc.Oakland, CA, CCN 921789 Hospice Contracted Managing Employee Jul 15, 2024

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 4

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 9

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": "1154304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1468800000000",
    "number": "1790791614",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 PENNY LANE",
            "city": "WATSONVILLE",
            "state": "CA",
            "postal_code": "950760007",
            "telephone_number": "831-722-2010",
            "fax_number": "831-722-2037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 PENNY LANE",
            "city": "WATSONVILLE",
            "state": "CA",
            "postal_code": "950760007",
            "telephone_number": "831-722-2010",
            "fax_number": "831-722-2037"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUERTA-IBARRA",
        "first_name": "JOSE",
        "middle_name": "FELIX",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-31",
        "last_updated": "2016-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A94115",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Watsonville, CA

Sources for this page

Verify at the official NPI Registry.