Organization Active NPI

Zeus Diagnostics Medical Group Inc

  • Specialist
  • Tustin, CA
National Provider Identifier
1952765182
Registry record updated Apr 13, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
G37235 Issued in CA
Legal business name
ZEUS DIAGNOSTICS MEDICAL GROUP INC
Practice address
17821 17TH St
Ste #250
Tustin, CA 92780-2136
Phone
(714) 505-2093
NPI assigned
Apr 13, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2016

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

Authorized official

Name
Dr. Eugene Hubbard, M.D.
Title
Neurologist
Phone
(714) 505-2093

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X G37235 CA Primary

Addresses

Primary practice location

17821 17TH St
Ste #250
Tustin, CA 92780-2136

Mailing address

P.O. Box 6646
Orange, CALIFORNIA 92863
UM

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1460505600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1460505600000",
    "number": "1952765182",
    "addresses": [
        {
            "country_code": "UM",
            "country_name": "United States Minor Outlying Islands",
            "address_purpose": "MAILING",
            "address_type": "FGN",
            "address_1": "P.O. BOX 6646",
            "city": "ORANGE",
            "state": "CALIFORNIA",
            "postal_code": "92863"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17821 17TH ST",
            "address_2": "STE #250",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "927802136",
            "telephone_number": "714-505-2093"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ZEUS DIAGNOSTICS MEDICAL GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-13",
        "last_updated": "2016-04-13",
        "status": "A",
        "authorized_official_last_name": "HUBBARD",
        "authorized_official_first_name": "EUGENE",
        "authorized_official_title_or_position": "NEUROLOGIST",
        "authorized_official_telephone_number": "714-505-2093",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "CA",
            "license": "G37235",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tustin, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2016; 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.