DR. SHITAL C. HUBLI (NPI# 1053339127) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053339127 |
| Entity Type | Individual |
| Full Name | DR. SHITAL C. HUBLI |
| Credential | M.D. |
| Practice Address |
644 W 12th St Tracy CA 95376-3437 |
| Mailing Address |
644 West 12th Street Tracy CA 95376 |
| Practice Telephone | 2098328984 |
| Practice Fax Number | 2098328988 |
| Mailing Telephone | (209) 832-8984 |
| Mailing Fax Number | 2098328988 |
| Enumeration Date | 2006-07-17 |
| Last Update Date | 2017-08-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | A85509 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
644 W 12TH ST |
| City | TRACY |
| State | CA |
| Zip Code | 95376-3437 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407897481 | Jagdish A Patel | Family Medicine | 644 W 12th St, Tracy, CA 95376-3437 | 2006-06-09 |
| 1568522878 | Patel, Pulliam & Hubli A Professional Medical Corp | Family Medicine | 644 W 12th St, Tracy, CA 95376-3437 | 2006-12-11 |
| 1245262682 | Ian Thomas Pulliam | Family Medicine | 644 W 12th St, Tracy, CA 95376-3437 | 2006-07-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932757150 | James Burgess Angel | Technician, Other | 455 W. Eaton Ave., Tracy, CA 95376 | 2019-08-30 |
| 1477079655 | Cassandra Sierra | Specialist/Technologist | 632 W 11th St Ste 119, Tracy, CA 95376 | 2017-08-18 |
| 1922465491 | Jasmeer Kaur Uppal | Registered Nurse | 1411 N. Tracy Bl., Tracy, CA 95376 | 2016-01-28 |
| 1679957773 | Amy Forester | Physical Therapy Assistant | 1752 Schantz Way, Tracy, CA 95376 | 2015-07-17 |
| 1477966265 | Sarah Ojeda | Marriage & Family Therapist | 19 East 6th Street, Tracy, CA 95376 | 2014-06-09 |
| 1356761209 | Lucille Nowakowski | Registered Nurse | 95 West 11 Th St, Tracy, CA 95376 | 2014-04-18 |
| 1821417718 | Ricardo Echon | Nurse Practitioner | 644 W 12th Street, Tracy, CA 95376 | 2014-04-08 |
| 1508105354 | Sutter Central Valley Hospitals | Pharmacy | 1420 N. Tracy Blvd., Tracy, CA 95376 | 2013-02-13 |
| 1790034056 | Amy Powers | Counselor | 902 N Central Ave Ste 308, Tracy, CA 95376 | 2012-09-02 |
| 1982951554 | Gurpreet Singh Dhaliwal Md Inc. | Anesthesiology | 1530 Bessie Ave Ste 104, Tracy, CA 95376 | 2012-08-13 |
| Find all providers in zip 95376 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114968104 | Mahesh K Sehgal | Family Medicine | 500 W Eaton Ave, Tracy, CA 95376 | 2006-06-09 |
| 1932171022 | Andris J Lazdins | Family Medicine | 2151 W Grant Line Rd, Tracy, CA 95377-7309 | 2006-02-03 |
| 1871139485 | Premiercare Physicians A California General Partnership | Family Medicine | 1470 Bessie Ave, Tracy, CA 95376-3417 | 2019-11-19 |
| 1467981662 | Maryam Zaman | Family Medicine | 445 W Eaton Ave, Tracy, CA 95376-3420 | 2017-06-09 |
| 1255868055 | Nimmie Singh | Family Medicine | 445 W Eaton Ave, Tracy, CA 95376-3420 | 2017-05-11 |
| 1770978579 | Jasdeep Dhami | Family Medicine | 445 W Eaton Ave, Tracy, CA 95376-3420 | 2015-03-30 |
| 1356764518 | Ross Thomas Caulfield | Family Medicine | 445 W Eaton Ave, Tracy, CA 95376-3420 | 2014-01-23 |
| 1619261054 | Pranjal Patel Md Inc | Family Medicine | 1530 Bessie Ave, Suite 105, Tracy, CA 95376-3080 | 2011-06-02 |
| 1558667915 | Savneet Kaur | Family Medicine | 2151 W Grant Line Rd, Tracy, CA 95377-7309 | 2011-02-02 |
| 1447578331 | Dunni Ayobami Adalumo | Family Medicine | 2151 W Grant Line Rd, Tracy, CA 95377-7309 | 2010-05-17 |
| Find all providers in TRACY | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.