Individual provider Active NPI

Richard Lomibao, PT

  • Physical Therapist
  • Sacramento, CA
National Provider Identifier
1033304050
Registry record updated Sep 12, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
33019 Issued in CA
Practice address
4551 Gateway Park Blvd
Suite D
Sacramento, CA 95834-2447
Phone
(916) 419-6054
Fax
(916) 419-6066
NPI assigned
Sep 12, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 33019 CA Primary

Addresses

Primary practice location

4551 Gateway Park Blvd
Suite D
Sacramento, CA 95834-2447

Mailing address

4551 Gateway Park Blvd
Suite D
Sacramento, CA 95834-2447
Phone (916) 419-6054

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
33019CAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Biancani Training and Physical Therapy Past Accepting new patients
Biancani Inc. Physical Therapist Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1189555200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1189555200000",
    "number": "1033304050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4551 GATEWAY PARK BLVD",
            "address_2": "SUITE D",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958342447",
            "telephone_number": "916-419-6054",
            "fax_number": "916-419-6066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4551 GATEWAY PARK BLVD",
            "address_2": "SUITE D",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958342447",
            "telephone_number": "916-419-6054",
            "fax_number": "916-419-6066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOMIBAO",
        "first_name": "RICHARD",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-09-12",
        "last_updated": "2007-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "33019",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sacramento, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.