Individual provider Active NPI

Josue E Sibrian, PETE

  • Psychologist
  • Porter Ranch, CA
National Provider Identifier
1013863182
Registry record updated Mar 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
36392 Issued in CA
Practice address
11866 Killimore Ave
Porter Ranch, CA 91326-1957
Phone
(818) 903-6705
NPI assigned
Mar 10, 2026
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 10, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103T00000X 36392 CA Primary

Addresses

Primary practice location

11866 Killimore Ave
Porter Ranch, CA 91326-1957

Mailing address

11866 Killimore Ave
Porter Ranch, CA 91326-1957
Phone (818) 903-6705

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

11866 Killimore Ave
Porter Ranch, CA 91326-1957

321 N Maclay Ave
Suite B
San Fernando, CA 91340-2958
Phone (818) 903-6705

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1773100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773100800000",
    "number": "1013863182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11866 KILLIMORE AVE",
            "city": "PORTER RANCH",
            "state": "CA",
            "postal_code": "913261957",
            "telephone_number": "818-903-6705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11866 KILLIMORE AVE",
            "city": "PORTER RANCH",
            "state": "CA",
            "postal_code": "913261957",
            "telephone_number": "818-903-6705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIBRIAN",
        "first_name": "JOSUE",
        "middle_name": "E",
        "credential": "PETE",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2026-03-10",
        "last_updated": "2026-03-10",
        "certification_date": "2026-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": "CA",
            "license": "36392",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Porter Ranch, CA

Sources for this page

Verify at the official NPI Registry.