LOGAN CHARLES HUBBARD MD, PHD
NPI 1639756232
Radiology - Diagnostic Radiology in San Diego, CA

Q: What is Logan Hubbard's NPI number?

The NPI number for Logan Hubbard is 1639756232. It was assigned to this individual provider in the NPPES registry on March 28, 2021.

Q: What is Logan Hubbard's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Q: When was this NPI record last updated?

The NPPES record for Logan Hubbard was last updated on June 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.

Active since March 28, 2021PECOS Enrolled

200 W ARBOR DR, SAN DIEGO, CA 92103(800) 926-8273(888) 539-8781 Get Directions Write a Review

NPPES record last updated: June 2, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jun 2, 2026, Nov 29, 2021, Mar 28, 2021 (3 updates tracked since 2021).

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About Logan Charles Hubbard Md, Phd NPPES

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

LOGAN CHARLES HUBBARD MD, PHD (NPI 1639756232) is an individual diagnostic radiology provider in San Diego, California, licensed in California (A181027) and active in the NPI registry since March 2021. He is enrolled in Medicare PECOS and maintains 7 additional practice locations.

NPPES Registry Identity

NPI1639756232

Entity TypeIndividualMale

Primary Taxonomy2085R0202X

Provider Legal NameLOGAN CHARLES HUBBARDCredential: MD, PHD

Location Address200 W ARBOR DRSan Diego, CA 92103-9000

Mailing AddressFile 57326Los Angeles, CA 90074-0001

Phone(800) 926-8273

Fax(888) 539-8781

Sole ProprietorNo

Enumeration DateMarch 28, 2021

Last NPPES UpdateJune 2, 20263 updates tracked since enumeration

NPPES CertifiedJune 2, 2026

✔ NPI 1639756232 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians

Taxonomy Code2085R0202X

License✔ Licensed in CA · A181027

Definition

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

200 W ARBOR DR, San Diego, CA 92103

Open in Google Maps ↗

Secondary Practice Locations 7

Location 11415 Ross AveEl Centro, CA 92243-4306 · Phone (800) 926-8273 · Fax (888) 539-8781

Location 2330 Lewis StSan Diego, CA 92103-2108 · Phone (800) 926-8273 · Fax (888) 539-8781

Location 36655 Alvarado RdSan Diego, CA 92120-5208 · Phone (800) 926-8273 · Fax (888) 539-8781

Location 44733 W Sunset Blvd Fl 3Los Angeles, CA 90027-6021 · Phone (323) 783-4516

Location 54250 1st AveSan Diego, CA 92103-2026 · Phone (800) 926-8273 · Fax (888) 539-8781

Location 69400 Campus Point DrLA Jolla, CA 92093-1350 · Phone (800) 926-8273 · Fax (888) 539-8781

Location 79300 Campus Point DrLA Jolla, CA 92037-1300 · Phone (800) 926-8273 · Fax (888) 539-8781

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Logan Charles Hubbard Md, Phd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92103 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$94.87 typical visit price

range $62.10 – $184.71

Typical copayment $23.71 (range $15.52 – $46.17)

Most-billed visit code 99203

Established Patient

$76.87 typical visit price

range $20.62 – $151.42

Typical copayment $19.21 (range $5.15 – $37.85)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

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