Active NPI
John R Hubanks, MD
- Otolaryngology Physician
- La Canada, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- License
- G10884
- Practice address
- 1370 Foothill Blvd
#100
La Canada, CA 91011-2150 - Phone
- (818) 952-1155
- Fax
- (818) 952-2632
- NPI assigned
- Jul 14, 2005
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Otolaryngology Physician | 207Y00000X | G10884 | CA | Primary |
Addresses
Primary practice location
1370 Foothill Blvd
#100
La Canada, CA 91011-2150
Mailing address
1370 Foothill Blvd
#100
La Canada, CA 91011-2150
Phone (818) 952-1155
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 040001519 | Other | CA | RAILROAD MEDICARE |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G10884 | CA | MD | Otolaryngology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Usc Care Medical Group, Inc | Otolaryngology | Current | Accepting new patients |
| Usc Care Medical Group, Inc | Current | Accepting new patients | |
| Childrens Hospital of Los Angeles | Past | Accepting new patients | |
| Keck Medical Center of Usc | Past | Accepting new patients | |
| Dignity Health | Past | Accepting new patients | |
| Providence Health System - Southern California | Past | Accepting new patients | |
| Usc Verdugo Hills Hospital, LLC | Past | Accepting new patients | |
| Usc University Hospital, Inc. | Past | Accepting new patients |
Locations
222 W Eulalia St
Ste 200
Glendale, CA 91204
Phone (818) 291-4010
800 S Central Ave
Ste 204
Glendale, CA 91204
Phone (818) 240-8001
1370 Foothill Blvd
Ste 100
La Canada Flt, CA 91011
Phone (818) 649-3919
1520 San Pablo St
Los Angeles, CA 90033
Phone (323) 442-5849
Organizations & group practices 8
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.
-
- General Practice Physician
- Los Angeles, CA
- NPI 1902846306
Otolaryngology
-
- Durable Medical Equipment & Medical Supplies
- Pasadena, CA
- NPI 1427937390
-
- Children's Hospital
- Los Angeles, CA
- NPI 1124073366
-
- General Acute Care Hospital
- Bakersfield, CA
- NPI 1104981661
-
- General Acute Care Hospital
- Los Angeles, CA
- NPI 1417554528
-
- General Acute Care Hospital
- Burbank, CA
- NPI 1336173269
-
- Psychiatric Hospital Unit
- Los Angeles, CA
- NPI 1790718500
-
- General Acute Care Hospital
- Glendale, CA
- NPI 1265875207
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121299200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1212364800000",
"number": "1811996697",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1370 FOOTHILL BLVD",
"address_2": "#100",
"city": "LA CANADA",
"state": "CA",
"postal_code": "910112150",
"telephone_number": "818-952-1155",
"fax_number": "818-952-2632"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1370 FOOTHILL BLVD",
"address_2": "#100",
"city": "LA CANADA",
"state": "CA",
"postal_code": "910112150",
"telephone_number": "818-952-1155",
"fax_number": "818-952-2632"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUBANKS",
"first_name": "JOHN",
"middle_name": "R",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-07-14",
"last_updated": "2008-06-02",
"status": "A"
},
"taxonomies": [
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "CA",
"license": "G10884",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "040001519",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in La Canada, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2008; 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.