Active NPI
Maverick Wayne Cadulong Jubane, MD
- Diagnostic Radiology Physician
- Stanford, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- A201217
- Practice address
- 300 Pasteur Dr
Stanford, CA 94305-2200 - Phone
- (650) 723-4000
- NPI assigned
- Mar 26, 2020
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | A201217 | CA | Primary |
| Diagnostic Radiology Physician | 2085R0202X | ME155926 | FL |
Addresses
Primary practice location
300 Pasteur Dr
Stanford, CA 94305-2200
Mailing address
300 Pasteur Dr
Stanford, CA 94305-2200
Phone (650) 723-4000
Other practice location 1
1115 NW 14th St
Miami, FL 33136-2106
Phone (305) 243-5512
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
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- Oregon Health Sciences University School of Medicine, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1 Medical Plaza Dr
Roseville, CA 95661-3037
Phone (916) 454-6868
1651 Exposition Blvd
Sacramento, CA 95815-5149
Phone (916) 731-7770
16911 Willow Glen Rd
Brownsville, CA 95919-9707
Phone (530) 675-2457
2 Medical Plaza Dr
Roseville, CA 95661-3042
200 Mission Blvd
Jackson, CA 95642-2564
Phone (916) 733-3777
250 W Main St
Woodland, CA 95695-3652
Phone (916) 668-6100
2800 L St
Sacramento, CA 95816-5616
2825 Capitol Ave
Sacramento, CA 95816-6039
Phone (916) 454-6600
300 Pasteur Dr
Stanford, CA 94305-2200
Phone (650) 723-4000
3133 Professional Dr
Auburn, CA 95603-2463
Phone (530) 885-8821
3161 L St
Sacramento, CA 95816-5234
Phone (916) 453-9999
440 Plumas Blvd
Yuba City, CA 95991-5071
Phone (530) 749-3409
444 Plumas Blvd
Yuba City, CA 95991-5071
Phone (530) 749-3420
800 E Washington Blvd
Crescent City, CA 95531-8359
Phone (707) 464-8511
815 Court St
Jackson, CA 95642-2154
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A201217 | CA | MD | Diagnostic Radiology Physician |
| ME155926 | FL | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sutter Valley Medical Foundation | Current | Accepting new patients | |
| Stanford Health Care | Current | Accepting new patients | |
| Sutter Valley Medical Foundation | Diagnostic Radiology | Current | Accepting new patients |
| Stanford Health Care | Diagnostic Radiology | Current | Accepting new patients |
| Sutter Valley Medical Foundation | Current | Accepting new patients |
Locations
2720 Low Ct
Fairfield, CA 94534
Phone (707) 428-2731
815 Court St
Ste 7
Jackson, CA 95642
Phone (209) 257-5900
600 Coffee Rd
Modesto, CA 95355
Phone (209) 550-4755
2800 L St
Ste 500
Sacramento, CA 95816
Phone (916) 454-6850
300 Pasteur Dr
Stanford, CA 94305
Phone (650) 498-5710
250 W Main St
Woodland, CA 95695
Phone (916) 668-6100
Interoperability endpoints
- mjubane749800@hisp.ehr.sutterhealth.org
Organizations & group practices 6
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.
-
- Multi-Specialty Clinic/Center
- Modesto, CA
- NPI 1669846986
Diagnostic Radiology
-
- Children's Hospital
- Palo Alto, CA
- NPI 1417907940
-
- Specialty Pharmacy
- Mountain View, CA
- NPI 1760366132
-
- Multi-Specialty Clinic/Center
- Fairfield, CA
- NPI 1184859894
-
- Durable Medical Equipment & Medical Supplies
- Tracy, CA
- NPI 1720930712
Hospital & facility affiliations 12
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Emeryville, CA
- NPI 1275076325
-
- General Acute Care Hospital
- Emeryville, CA
- NPI 1285177337
-
- General Acute Care Hospital
- Stanford, CA
- NPI 1437292927
-
- General Acute Care Hospital
- Pleasanton, CA
- NPI 1467990465
-
- General Acute Care Hospital
- Stanford, CA
- NPI 1871543215
-
- General Acute Care Hospital
- Auburn, CA
- NPI 1194774299
-
- General Acute Care Hospital
- Roseville, CA
- NPI 1356390264
-
- General Acute Care Hospital
- Davis, CA
- NPI 1770532608
-
- General Acute Care Hospital
- Sacramento, CA
- NPI 1811946734
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1585180800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783382400000",
"number": "1841827946",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 PASTEUR DR",
"city": "STANFORD",
"state": "CA",
"postal_code": "943052200",
"telephone_number": "650-723-4000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 PASTEUR DR",
"city": "STANFORD",
"state": "CA",
"postal_code": "943052200",
"telephone_number": "650-723-4000"
}
],
"practiceLocations": [
{
"address_1": "1115 NW 14th St",
"address_purpose": "LOCATION",
"city": "Miami",
"state": "FL",
"postal_code": "331362106",
"country_code": "US",
"telephone_number": "305-243-5512",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JUBANE",
"first_name": "MAVERICK",
"middle_name": "WAYNE CADULONG",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-03-26",
"last_updated": "2026-07-07",
"certification_date": "2026-07-07",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "CA",
"license": "A201217",
"primary": true
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "FL",
"license": "ME155926",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Stanford, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2026; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.