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Deactivated NPI 1811087752 Deactivated / Inactive NPI Male Practitioner

Dr. John James Lubenko , MD

General Practice • Fresno, CA

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. John Lubenko has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date October 13, 2006
NPI Deactivation Date January 08, 2026
Total Practice Duration ~20 Years of Practice (2006 – 2026)

Professional Overview & Biography Verified Profile Summary

Dr. John Lubenko, MD was a registered General Practice practicing in Fresno, CA. Throughout an active medical career spanning 20 years, Dr. Lubenko provided care at the practice location at 4929 E KINGS CANYON RD until profile deactivation on 2026-01-08.

Practice Location & Contact Primary Location

Practice Address

4929 E Kings Canyon Rd

Fresno, CA 937273812

Telephone 5592556476
Fax 5592556476
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for General Practice in Fresno, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 24.8 Yrs
State Avg: 31.1 Yrs
Regional Practice Density
31 Specialists

Practicing in Fresno, CA (2300 Statewide)

Telehealth Adoption Rate
12.9% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

General Practice Primary Specialty

NUCC Taxonomy Code: 208D00000X

State License CA G29551

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

9 Associated Practitioners
Vang Moua , PA-C

Physician Assistant - Medical

NPI 1164682100

Physician Assistant (Certified)

Dr. Hoang Tieu , MD

Psychiatry & Neurology - Psychiatry

NPI 1215018783

Doctor of Medicine (M.D.)

Thek Mouanoutoua , PA-C

Physician Assistant

NPI 1275772964

Physician Assistant (Certified)

Dr. John Dao , MD

General Practice

NPI 1356431217

Doctor of Medicine (M.D.)

Hyacintha Agina , NP

Nurse Practitioner - Family

NPI 1649438425

Nurse Practitioner

Sonny Her , NP

Nurse Practitioner - Family

NPI 1780439836

Nurse Practitioner

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
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NPI Profile Deactivated January 08, 2026

Record deactivated on January 08, 2026

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Medical Taxonomy / Specialty Registered (Primary Specialty) February 01, 2024

Family Medicine (License #G29551 in CA)

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 4929 E KINGS CANYON RD, FRESNO, CA 937273812 (Tel: 5592556476)

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Updated Business Mailing Address July 08, 2007

Registered at 4929 E KINGS CANYON RD, FRESNO, CA 937273812 (Tel: 5592556476)

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Provider Name / Credentials Updated July 08, 2007

Recorded as JOHN LUBENKO, M.D.

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

General Practice (License #G29551 in CA)

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Initial NPI Registration & Enumeration October 13, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1811087752
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 13, 2006
Last Update: July 08, 2007
Deactivation Date: January 08, 2026

Mailing Address

4929 E Kings Canyon Rd

Fresno, CA 937273812

Phone: 5592556476

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

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