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RUSSELL BRUCE HUBBARD MD INC
NPI 1053430744
Psychiatry & Neurology - Psychiatry in San Diego, CA

Active since March 27, 2007
1565 HOTEL CIR S STE 310, SAN DIEGO, CA 92108(619) 295-8005(619) 297-1700 Get Directions Write a Review

NPPES record last updated: April 22, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Russell Bruce Hubbard Md Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RUSSELL BRUCE HUBBARD MD INC (NPI 1053430744) is a healthcare organization registered as a psychiatry in San Diego, California and active in the NPI registry since March 2007. The organization lists Russell Bruce Hubbard, Owner, as its authorized official.

NPPES Registry Identity

NPI1053430744
Entity TypeOrganization
Primary Taxonomy2084P0800X
Legal Business NameRUSSELL BRUCE HUBBARD MD INC
Location Address1565 HOTEL CIR S STE 310San Diego, CA 92108-3419
Mailing AddressPo Box 1770La Mesa, CA 91944-1770 · (619) 295-8005 · Fax (619) 297-1700
Phone(619) 295-8005
Fax(619) 297-1700
Organization SubpartNo
Authorized OfficialRussell Bruce HubbardOwner · (619) 295-8005
Enumeration DateMarch 27, 2007
Last NPPES UpdateApril 22, 2020
NPPES CertifiedApril 22, 2020
✔ NPI 1053430744 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
Also ListedPsychiatry & Neurology · Addiction PsychiatryTaxonomy 2084P0802X
1565 HOTEL CIR S STE 310, San Diego, CA 92108
Open in Google Maps ↗

Other Identifiers 2

Other125585700CA · Owcpacs (dept. Labor Wc)
OtherG25680CA · Medical License #

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Russell Bruce Hubbard Md Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by March 31, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateCaliforniaEnrollment IDO20081107000176Non-DME Part B · Clinic/Group PracticeDue dateMarch 31, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Russell Bruce Hubbard MD Inc, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 3 within 10 miles. They are listed nearest first.

Clinicians, nearest first (3)

Russell Hubbard, M.D.
Psychiatry
NPI 1992879472
1565 HOTEL CIR S STE 310
San Diego, CA 92108
(619) 295-8005
✔ PECOS✔ Accepts MedicareSame address
Karishma Patel, M.D.
Psychiatry
NPI 1740644111
3020 CHILDRENS WAY
San Diego, CA 92123
(858) 576-1700
✔ PECOS3.2 mi
Ashraf Fanous, M.D.
Psychiatry
NPI 1083830350
8775 AERO DR STE 238
San Diego, CA 92123
(571) 232-6708
✔ PECOS✔ Accepts Medicare4.2 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Russell Bruce Hubbard MD Inc's NPI number?

The NPI number for Russell Bruce Hubbard MD Inc is 1053430744. It was assigned to this organization in the NPPES registry on March 27, 2007.

Where is Russell Bruce Hubbard MD Inc located?

Russell Bruce Hubbard MD Inc is located at 1565 Hotel Cir S Ste 310, San Diego, CA 92108. The listed phone number is (619) 295-8005.

What is Russell Bruce Hubbard MD Inc's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Russell Bruce Hubbard MD Inc enrolled in Medicare?

Yes. Russell Bruce Hubbard MD Inc is registered in the Medicare PECOS enrollment system.

When is Russell Bruce Hubbard MD Inc's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (California, Clinic/Group Practice) is due for revalidation by March 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Russell Bruce Hubbard MD Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians, all in Psychiatry, reassign their Medicare billing to Russell Bruce Hubbard MD Inc. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice at this address and 3 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Russell Bruce Hubbard MD Inc was last updated on April 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.