Healthcare Provider Details

I. General information

NPI: 1144711995
Provider Name (Legal Business Name): ASHLEY HUBBARD DO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/27/2018
Last Update Date: 04/20/2026
Certification Date: 04/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

39000 BOB HOPE DR
RANCHO MIRAGE CA
92270-3202
US

IV. Provider business mailing address

1411 E 31ST ST FL 2
OAKLAND CA
94602-1018
US

V. Phone/Fax

Practice location:
  • Phone: 760-834-3564
  • Fax: 760-773-1605
Mailing address:
  • Phone: 510-437-5039
  • Fax: 510-535-7313

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number20A18007
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code207RC0200X
TaxonomyCritical Care Medicine (Internal Medicine) Physician
License Number20A18007
License Number StateCA
# 3
Primary TaxonomyY
Taxonomy Code207RP1001X
TaxonomyPulmonary Disease Physician
License Number20A18007
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: