Individual provider Active NPI

Harold Jeffrey Hubis, M.D.

  • Internal Medicine Physician
  • San Jose, CA
National Provider Identifier
1912229725
Registry record updated Feb 20, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
GFE8908 Issued in CA
Practice address
1459 Corte de Rosa
San Jose, CA 95120-4912
Phone
(408) 268-9507
Fax
(408) 268-9507
NPI assigned
Feb 20, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 20, 2010

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 GFE8908 CA Primary

Addresses

Primary practice location

1459 Corte de Rosa
San Jose, CA 95120-4912

Mailing address

1459 Corte de Rosa
San Jose, CA 95120-4912
Phone (408) 268-9507

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
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
GFE8908CAMDInternal Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1266624000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1266624000000",
    "number": "1912229725",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1459 CORTE DE ROSA",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951204912",
            "telephone_number": "408-268-9507",
            "fax_number": "408-268-9507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1459 CORTE DE ROSA",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951204912",
            "telephone_number": "408-268-9507",
            "fax_number": "408-268-9507"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUBIS",
        "first_name": "HAROLD",
        "middle_name": "JEFFREY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-02-20",
        "last_updated": "2010-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "GFE8908",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Jose, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.