Organization Active NPI

Hubmd PC

  • Urology Physician
  • Redlands, CA
National Provider Identifier
1982269031
Registry record updated May 3, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
Legal business name
HUBMD PC
Practice address
104 E Olive Ave Ste 100
Redlands, CA 92373-5255
Phone
(909) 455-9473
NPI assigned
May 3, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 3, 2019

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

Authorized official

Name
Stanley K Frencher, MDNPI 1124341086
Title
Physician Executive
Phone
(909) 455-9473

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208800000X Primary

Addresses

Primary practice location

104 E Olive Ave Ste 100
Redlands, CA 92373-5255

Mailing address

700 E Redlands Blvd Ste U218
Redlands, CA 92373-6109
Phone (909) 455-9473

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230327000827 CA Part B Supplier - Clinic/Group Practice 4981078359 Receives reassigned benefits from 2 practitioners
Practice locations: Redlands, CA

National Provider Directory

National Provider Directory

Locations

104 E Olive Ave
Redlands, CA 92373

700 E Redlands Blvd
Ste U218
Redlands, CA 92373

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1556841600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1556841600000",
    "number": "1982269031",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 E REDLANDS BLVD STE U218",
            "city": "REDLANDS",
            "state": "CA",
            "postal_code": "923736109",
            "telephone_number": "909-455-9473"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 E OLIVE AVE STE 100",
            "city": "REDLANDS",
            "state": "CA",
            "postal_code": "923735255",
            "telephone_number": "909-455-9473"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HUBMD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-03",
        "last_updated": "2019-05-03",
        "status": "A",
        "authorized_official_last_name": "FRENCHER",
        "authorized_official_first_name": "STANLEY",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PHYSICIAN EXECUTIVE",
        "authorized_official_telephone_number": "909-455-9473",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Urology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Redlands, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.