JACK PIERRE DUBOIS (NPI# 1952713802) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952713802 |
| Entity Type | Individual |
| Full Name | JACK PIERRE DUBOIS |
| Credential | M.D. |
| Practice Address |
25455 Barton Rd Loma Linda CA 92354 |
| Mailing Address |
File Number 54701 Los Angeles CA 90074-4701 |
| Practice Telephone | 9095584126 |
| Enumeration Date | 2014-05-27 |
| Last Update Date | 2018-07-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | A144508 | CA | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 9961 Sierra Ave # Mob1, Fontana, CA 923356720 | 9094275083 |
| Street Address |
25455 BARTON RD |
| City | LOMA LINDA |
| State | CA |
| Zip Code | 92354 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124018114 | Gary D Botimer | Orthopaedic Surgery | 25455 Barton Rd, Ste 102b, Loma Linda, CA 92354-3128 | 2005-10-21 |
| 1033753249 | Victoria V Teppone | Family Medicine | 25455 Barton Rd, Loma Linda, CA 92354-3128 | 2019-10-30 |
| 1376991059 | Russell Irving Carl Erickson Iv | Student in an Organized Health Care Education/Training Program | 25455 Barton Rd, Suite 206a, Loma Linda, CA 92354-3128 | 2016-06-02 |
| 1164879219 | Megan Ashley Olivas | Registered Nurse | 25455 Barton Rd, 204b, Loma Linda, CA 92354-3128 | 2016-05-18 |
| 1407202328 | Tiffiny Suzanne Pizzifred | Nurse Practitioner | 25455 Barton Rd, Suite 204b, Loma Linda, CA 92354-3128 | 2016-05-10 |
| 1679943054 | Rio Gutierrez Ocampo | Nurse Practitioner | 25455 Barton Rd, Suite 204b, Loma Linda, CA 92354-3128 | 2015-09-29 |
| 1164806329 | Mark R Weber | Physician Assistant | 25455 Barton Rd, Loma Linda, CA 92354-3128 | 2015-07-16 |
| 1457731572 | Mopelola Adetola Adeyemo | Internal Medicine | 25455 Barton Rd, Suite 206-a, Loma Linda, CA 92354-3128 | 2015-06-03 |
| 1073991287 | Micah Clement | Physician Assistant | 25455 Barton Rd, Loma Linda, CA 92354-3128 | 2015-05-08 |
| 1033554613 | Loma Linda Inland Consortium for Healthcare Education | Clinic/Center | 25455 Barton Rd, Suite 209-b, Loma Linda, CA 92354-3128 | 2013-05-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588264337 | Apple Red Nutrition Services | Dietitian, Registered | 357 W. 2nd St, Suite #2, Loma Linda, CA 92354 | 2020-10-30 |
| 1013517960 | Kristina Pulliam Markey | Nurse Practitioner | 11234 Anderson Strreet, Loma Linda, CA 92354 | 2020-10-29 |
| 1932725645 | Dev Priya Singhvi | Student in an Organized Health Care Education/Training Program | 11332 Mountain View Avenue, Westerly Building, Suite C, Gme Office, Loma Linda, CA 92354 | 2020-06-18 |
| 1750901278 | Angela N Torres | Student in an Organized Health Care Education/Training Program | Loma Linda University Health Emergency Medicine, 11234 Anderson Street, Loma Linda, CA 92354 | 2020-04-24 |
| 1548899230 | Holistic Physical Therapy Inc. | Physical Therapist | 25003 Starr Str, Loma Linda, CA 92354 | 2020-04-03 |
| 1508494071 | Eric Allen | Student in an Organized Health Care Education/Training Program | Loma Linda University Health Pediatrics, General, 11234 Anderson Street, Loma Linda, CA 92354 | 2020-03-31 |
| 1730640244 | Rose Valley Rcfe | Assisted Living Facility | 11574 Poplar St, Loma Linda, CA 92354 | 2019-03-27 |
| 1336633676 | David A Lawrence | Student in an Organized Health Care Education/Training Program | Loma Linda University Hospital, 11234 Anderson St., Loma Linda, CA 92354 | 2018-06-20 |
| 1205329547 | Rachael Nicole Spady | Student in an Organized Health Care Education/Training Program | Loma Linda University Health - Obstetrics & Gynecology, 11234 Anderson St, Loma Linda, CA 92354 | 2018-06-12 |
| 1447756069 | Anthony Ernest Sanchez | Otolaryngology | 11332 Mountain View, Westerly Building Suite C, Loma Linda, CA 92354 | 2018-04-03 |
| Find all providers in zip 92354 | ||||
| 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 |
|---|---|---|---|---|
| 1619525086 | Stefanie Mecham | Family Medicine | 11234 Anderson St Unit 4800, Loma Linda, CA 92354-2804 | 2019-08-29 |
| 1609215995 | Marcos Estevan Uribe | Family Medicine | 25455 Barton Rd Ste 209a, Loma Linda, CA 92354-3177 | 2013-06-19 |
| 1184944639 | Jack Yanzhen Liang | Family Medicine | 25053 Mound St, Loma Linda, CA 92354-2770 | 2010-06-07 |
| 1194932285 | Hedviga Cristina Arsene | Family Medicine | 25455 Barton Rd Ste 201a, Loma Linda, CA 92354-3173 | 2007-05-17 |
| 1770790784 | Fariba Shoja-taheri | Family Medicine | 25455 Barton Rd Ste 209b, Loma Linda, CA 92354-3133 | 2007-05-17 |
| 1235220864 | Michael Andres Caruso | Family Medicine | 24785 Stewart St Ste 111, Loma Linda, CA 92350-1721 | 2006-09-27 |
| 1376573188 | Reewa Kejriwal | Family Medicine | 11234 Anderson St Rm 6700h, Loma Linda, CA 92354-2804 | 2006-07-04 |
| 1578590097 | Joan Elaine Haynes-lee | Family Medicine | 25455 Barton Rd Ste 204b, Loma Linda, CA 92354-3130 | 2006-06-28 |
| 1841227493 | Charles Oliver Thompson | Family Medicine | 24630 Redlands Blvd, Loma Linda, CA 92354-4019 | 2006-06-27 |
| 1922054493 | Loma Linda Univ Family Medical Group Inc. | Family Medicine | 25455 Barton Road, Ste 204b, Loma Linda, CA 92354 | 2006-05-26 |
| Find all providers in LOMA LINDA | ||||
| City | LOMA LINDA |
| Zip Code | 92354 |
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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.