Russell Bruce Hubbard, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

G25680 Issued in CA

Practice address

1565 Hotel Cir S Ste 310
San Diego, CA 92108-3419

Phone

(619) 295-8005

Fax

(619) 297-1700

NPI assigned

Nov 17, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Psychiatry

Education

Vanderbilt University School of Medicine, 1972

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Russell Bruce Hubbard MD IncGroup PAC ID 7810056744, 3 clinicians

Indian Health Council IncGroup PAC ID 5294644795, 21 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

21.16 of 100Reported as individual

Quality

0

Improvement activities

0

Cost

70.52

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: bruce.hubbard@rbhmi-ca.direct.office.nextgen.com

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.

• Russell Bruce Hubbard MD Inc

  • Psychiatry Physician
  • San Diego, CA
  • NPI 1053430744
  Medicare reassignment Care Compare group Authorized official
• Indian Health Council, Inc

  • Federally Qualified Health Center (FQHC)
  • Valley Center, CA
  • NPI 1861449522
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1163721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1587513600000",
    "number": "1992879472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1770",
            "city": "LA MESA",
            "state": "CA",
            "postal_code": "919441770",
            "telephone_number": "619-295-8005",
            "fax_number": "619-297-1700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1565 HOTEL CIR S STE 310",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921083419",
            "telephone_number": "619-295-8005",
            "fax_number": "619-297-1700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUBBARD",
        "first_name": "RUSSELL",
        "middle_name": "BRUCE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-17",
        "last_updated": "2020-04-22",
        "certification_date": "2020-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0802X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Addiction Psychiatry",
            "state": "CA",
            "license": "G25680",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "G25680",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marsha Hubbard, ASW
• Matthew Alexander Hubbard, D.C.
• Melissa Hubbard, IMF
• Michael Lawrence Hubbard
• Mya Lynne Hubbard
• Sherri Elizabeth Hubbard
• Aubrey Hubbart
• Debra Ann Hubbell, LVN
• Jeanne M Huber, LCSW
• Jeffrey Oliver Hubrel

• Psychiatry Physician in San Diego, CA
• Providers in San Diego, CA by specialty
• Psychiatry Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2020; 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.

Verify at the official NPI Registry.