JUDE FOX NPI 1548415508

NPI Information

  • NPI: 1548415508
  • Provider Name: JUDE FOX
  • Classification: Physician Assistant - 363AM0700X
  • Specialization: Medical
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 16319 THIRD STREET
    GUERNEVILLE, CA
    ZIP 95446
  • Phone: (707) 869-5977

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NPI Details

Jude Fox is a medical physician assistant in Guerneville, CA. Jude Fox NPI is 1548415508. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

16319 THIRD STREET
GUERNEVILLE, CA
ZIP 95446
Phone: (707) 869-5977
Fax: (707) 869-5976

The NPI 1548415508 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 11/18/2008 and was last updated on 11/18/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363AM0700XPhysician AssistantMedicalPA19987CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11598768962MEDICAIDCALIFORNIA
21356344758MEDICAIDCALIFORNIA
3237310613OTHERCALIFORNIABX/BS
4551803MEDICARE OSCAR/CERTIFICATIONCALIFORNIA
5ZZZ21461ZOTHERCALIFORNIAMEDICARE NHIC
6ZZZ73222ZOTHERCALIFORNIAMEDICARE NHIC
7551839MEDICARE OSCAR/CERTIFICATIONCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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