Active NPI
Andreas W Sijbrant, ND, LAC
- Naturopath
- San Carlos, CA
National Provider Identifier
1053502062
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Naturopath
- License
- ND38
- Practice address
- 905 Laurel St
San Carlos, CA 94070-3916 - Phone
- (650) 678-9226
- NPI assigned
- Aug 5, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | AC9208 | CA | |
| Naturopath | 175F00000X | ND38 | CA | Primary |
Addresses
Primary practice location
905 Laurel St
San Carlos, CA 94070-3916
Mailing address
905 Laurel St
San Carlos, CA 94070-3916
Phone (650) 533-9015
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AC9208 | CA | MD | Acupuncturist |
| ND38 | CA | MD | Naturopath |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Holistic Land Inc | Acupuncturist | Past | Accepting new patients |
Organizations & group practices 1
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": "1186272000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1617926400000",
"number": "1053502062",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "905 LAUREL ST",
"city": "SAN CARLOS",
"state": "CA",
"postal_code": "940703916",
"telephone_number": "650-533-9015"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "905 LAUREL ST",
"city": "SAN CARLOS",
"state": "CA",
"postal_code": "940703916",
"telephone_number": "650-678-9226"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIJBRANT",
"first_name": "ANDREAS",
"middle_name": "W",
"name_prefix": "Dr.",
"credential": "ND, LAC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-08-05",
"last_updated": "2021-04-09",
"certification_date": "2021-04-09",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "CA",
"license": "AC9208",
"primary": false
},
{
"code": "175F00000X",
"taxonomy_group": "",
"desc": "Naturopath",
"state": "CA",
"license": "ND38",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Carlos, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.