Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Charlotte Dai Kubicky, MD, PHD

Individual provider Radiation Oncology Physician · NPI 1194935858

Dr. Charlotte Dai Kubicky, MD, PHD is a Radiation Oncology in Roseville, California. Qualified in 2002, 24 years ago. Practices with Sutter Valley Medical Foundation, a 2,464-clinician group, works from 3 locations, accepts Medicare assignment and offers telehealth. Licensed in California and Oregon.

Years since qualifying
24
Licensed in
CA, OR
In the registry since
2007
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

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Practice location Address checks out

2 Medical Plaza Dr Ste 180
Roseville, CA 95661-3049
Phone: (916) 781-1225
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 3181 Sw Sam Jackson Park Rd, Portland, OR 97239-3011 — (415) 939-7113
  • 3181 Sw Sam Jackson Park Rd, Portland, OR 97239-3011 — (415) 939-7113

Specialties & licences

Radiation Oncology Physician (primary) Taxonomy 2085R0001X · Licence A85664 (CA)
Radiation Oncology Physician Taxonomy 2085R0001X · Licence MD27649 (OR)

Record details

NPI number1194935858
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD , PHD
Sole proprietorNo
NPI enumeratedMay 23, 2007
Last updated in NPPESAugust 23, 2018

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyRADIATION ONCOLOGY
Medical schoolOTHER
Graduated 2002 (24 years in practice)
Group practice Sutter Valley Medical Foundation — 2464 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations7 on file with Medicare

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