Jennifer Nguyen Hubert, D.O., Inc

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

20A8236 Issued in CA

Legal business name

JENNIFER NGUYEN HUBERT, D.O., INC

Practice address

1014 Hopper Ave
# 615
Santa Rosa, CA 95403-1613

Phone

(707) 575-3202

Fax

(707) 579-8820

NPI assigned

Oct 30, 2007

Last updated

Jan 3, 2008By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Jennifer Hubert, D.O.

Title

President

Phone

(707) 575-3202

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1193702400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1199318400000",
    "number": "1932388659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1014 HOPPER AVE",
            "address_2": "# 615",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954031613",
            "telephone_number": "707-575-3202",
            "fax_number": "707-579-8820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1014 HOPPER AVE",
            "address_2": "# 615",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954031613",
            "telephone_number": "707-575-3202",
            "fax_number": "707-579-8820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JENNIFER NGUYEN HUBERT, D.O., INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-30",
        "last_updated": "2008-01-03",
        "status": "A",
        "authorized_official_last_name": "HUBERT",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "707-575-3202",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "20A8236",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00AX82360",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Richard Stephen Jenderseck, D.D.S,
• Jennifer Jenkins, MA
• Sarah Faith Jenkins
• Coralie Jenner, CMT, LMT, HHP
• Jennifer Blum PSYD Licensed Psychologist PC
• Jennifer Yang Psychologist P.C.
• Krista Shea Jennings
• Erica Jennison, PHYSICAL THERAPIST
• Loretta Louise Jensen
• Michelle Jensen, RAS

• Internal Medicine Physician in Santa Rosa, CA
• Providers in Santa Rosa, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2008; 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.