Individual
JUDE FOX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
16110 E 14TH ST, ASHLAND, CA 94578-3002
(510) 471-5880
Mailing address
1290 B ST STE 109, HAYWARD, CA 94541-2952
(510) 471-5880
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA19987
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1356344758
—
CA
05
—
1598768962
—
CA
01
—
237310613
BX/BS
CA
01
—
ZZZ21461Z
MEDICARE NHIC
CA
01
—
ZZZ73222Z
MEDICARE NHIC
CA
Enumeration date
11/18/2008
Last updated
01/30/2026
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