DEIDRE GUBAC
NPI 1952004624
Student in an Organized Health Care Education/Training Program in Oakland, CA

Active since March 22, 2023PECOS Enrolled
1411 E 31ST ST, OAKLAND, CA 94602(510) 437-4564 Get Directions Write a Review

NPPES record last updated: March 22, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Deidre Gubac NPPES

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

DEIDRE GUBAC (NPI 1952004624) is an individual student in an organized health care education/training program in Oakland, California and active in the NPI registry since March 2023. She is enrolled in Medicare PECOS and is a graduate of University Of Missouri, Columbia School Of Medicine (2023).

NPPES Registry Identity

NPI1952004624
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameDEIDRE GUBAC
Location Address1411 E 31ST STOakland, CA 94602-1018
Mailing Address1411 E 31st StOakland, CA 94602-1018
Sole ProprietorNo
Medical School CMSUniversity Of Missouri, Columbia School Of MedicineGraduated 2023
Enumeration DateMarch 22, 2023
NPPES CertifiedMarch 22, 2023
✔ NPI 1952004624 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
1411 E 31ST ST, Oakland, CA 94602

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Deidre Gubac is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9335606359
PECOS Enrollment IDI20260810003934
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.

Medicare Billing Reassignment

Medicare enrollment records show Deidre Gubac reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Internal Medicine
2238 GEARY
San Francisco, CA 94116
  • Reassigned Medicare billing, California enrollment
  • 20,078 clinicians in this Medicare group

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

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.

Social Worker (Clinical)
1411 E 31ST ST
OAKLAND, CA 94602
Nurse Practitioner (Family)
1411 E 31ST ST
OAKLAND, CA 94602
Obstetrics & Gynecology
1411 E 31ST ST, OAKCARE MEDICAL GROUP
OAKLAND, CA 94602
Clinical Nurse Specialist (Emergency)
1411 E 31ST ST
OAKLAND, CA 94602
Social Worker (Clinical)
1411 E 31ST ST, ALAMEDA COUNTY MEDICAL CENTER - MEDICAL SOCAL WORK SRVC
OAKLAND, CA 94602
Registered Nurse (Ambulatory Care)
1411 E 31ST ST
OAKLAND, CA 94602
Emergency Medicine
1411 E 31ST ST
OAKLAND, CA 94602
Surgery
1411 E 31ST ST
OAKLAND, CA 94602

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 Deidre Gubac's NPI number?

The NPI number for Deidre Gubac is 1952004624. It was assigned to this individual provider in the NPPES registry on March 22, 2023.

Where is Deidre Gubac located?

Deidre Gubac practices at 1411 E 31st St, Oakland, CA 94602. The listed phone number is (510) 437-4564.

What is Deidre Gubac's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Deidre Gubac enrolled in Medicare?

Yes. Deidre Gubac is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Deidre Gubac's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Deidre Gubac reassigns Medicare benefits to Permanente Medical Group Inc (San Francisco, CA). The 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 Deidre Gubac's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Deidre Gubac was last updated on March 22, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.