Provider Demographics
NPI:1831131895
Name:CUBRE, ALAN PAUL (MD)
Entity Type:Individual
Prefix:
First Name:ALAN
Middle Name:PAUL
Last Name:CUBRE
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:3637 MISSION AVE
Mailing Address - Street 2:SUITE 7
Mailing Address - City:CARMICHAEL
Mailing Address - State:CA
Mailing Address - Zip Code:95608-2946
Mailing Address - Country:US
Mailing Address - Phone:916-786-7498
Mailing Address - Fax:916-786-2715
Practice Address - Street 1:5 MEDICAL PLAZA DR
Practice Address - Street 2:SUITE 190
Practice Address - City:ROSEVILLE
Practice Address - State:CA
Practice Address - Zip Code:95661-2865
Practice Address - Country:US
Practice Address - Phone:916-786-7498
Practice Address - Fax:916-786-2715
Is Sole Proprietor?:No
Enumeration Date:2006-06-12
Last Update Date:2013-01-16
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Provider Licenses
StateLicense IDTaxonomies
CAG36916207RC0200X, 207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
No207RC0200XAllopathic & Osteopathic PhysiciansInternal MedicineCritical Care Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00G369160Medicaid
CAA46864Medicare UPIN
CA00G369162Medicare PIN