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BENJAMIN JOSEPH HUBBARD PA
NPI 1619517745
Physician Assistant - Surgical in Walnut Creek, CA

Active since January 07, 2020PECOS EnrolledAccepts Medicare Assignment
2625 SHADELANDS DR, WALNUT CREEK, CA 94598(925) 939-8585(925) 933-2709 Get Directions Write a Review

NPPES record last updated: September 18, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 18, 2020, Jun 25, 2020, Jan 8, 2020 (3 updates tracked since 2020).

About Benjamin Joseph Hubbard Pa NPPES

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

BENJAMIN JOSEPH HUBBARD PA (NPI 1619517745) is an individual surgical provider in Walnut Creek, California, licensed in California (57963) and active in the NPI registry since January 2020. He is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1619517745
Entity TypeIndividualMale
Primary Taxonomy363AS0400X
Provider Legal NameBENJAMIN JOSEPH HUBBARDCredential: PA
Location Address2625 SHADELANDS DRWalnut Creek, CA 94598-2512
Mailing AddressPo Box 31396Walnut Creek, CA 94598-8396 · (925) 939-8585 · Fax (925) 933-2709
Phone(925) 939-8585
Fax(925) 933-2709
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateJanuary 7, 2020
Last NPPES UpdateSeptember 18, 20203 updates tracked since enumeration
NPPES CertifiedSeptember 18, 2020
✔ NPI 1619517745 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License✔ Licensed in CA · 57963
2625 SHADELANDS DR, Walnut Creek, CA 94598
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Other Names 1

Other Name (5)Ben Joseph Hubbard Pa

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Benjamin Joseph Hubbard Pa is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9335564715
PECOS Enrollment IDI20200731002272
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

AFSHIN A ANOUSHIRAVANI
Orthopaedic Surgery
2625 SHADELANDS DR
WALNUT CREEK, CA 94598
Contra Costa County (925) 256-2107
MR. SCOTT TURTLE P.T.
Physical Therapist (Orthopedic)
2625 SHADELANDS DR
WALNUT CREEK, CA 94598
Contra Costa County (925) 939-8585
DR. MICHAEL GARY MICHLITSCH M.D.
Orthopaedic Surgery (Sports Medicine)
2625 SHADELANDS DR
WALNUT CREEK, CA 94598
Contra Costa County (925) 939-8585
LORA MINA RANCOURT PA-C
Physician Assistant
2625 SHADELANDS DR
WALNUT CREEK, CA 94598
Contra Costa County (925) 939-8585
CAITLIN MONDT
Physical Therapist (Orthopedic)
2625 SHADELANDS DR
WALNUT CREEK, CA 94598
Contra Costa County (925) 256-2107
ALYSSA MARIE BERNAT PA
Physician Assistant (Surgical)
2625 SHADELANDS DR
WALNUT CREEK, CA 94598
Contra Costa County (925) 939-8585
LAUREN BAKER OTR
Occupational Therapist (Hand)
2625 SHADELANDS DR
WALNUT CREEK, CA 94598
Contra Costa County (925) 939-8585
JASON BALAOING
Occupational Therapist (Hand)
2625 SHADELANDS DR
WALNUT CREEK, CA 94598
Contra Costa County (925) 939-8585

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 Benjamin Hubbard's NPI number?

The NPI number for Benjamin Hubbard is 1619517745. It was assigned to this individual provider in the NPPES registry on January 7, 2020. The provider is also known as Ben Joseph Hubbard PA.

Where is Benjamin Hubbard located?

Benjamin Hubbard practices at 2625 Shadelands Dr, Walnut Creek, CA 94598. The listed phone number is (925) 939-8585.

What is Benjamin Hubbard's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Benjamin Hubbard enrolled in Medicare?

Yes. Benjamin Hubbard is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Benjamin Hubbard was last updated on September 18, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.