Active NPI
Gaby Sibo, PA-C
- Medical Physician Assistant
- Folsom, CA
National Provider Identifier
1104254671
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- 51233
- Practice address
- 1600 Creekside Dr
Suite 3800
Folsom, CA 95630-3444 - Phone
- (916) 984-7830
- NPI assigned
- Oct 21, 2013
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 51233 | CA | |
| Medical Physician Assistant | 363AM0700X | 51233 | CA | Primary |
Addresses
Primary practice location
1600 Creekside Dr
Suite 3800
Folsom, CA 95630-3444
Mailing address
1600 Creekside Dr
Suite 3800
Folsom, CA 95630-3444
Phone (916) 984-7830
Other names 1
- Gaby Galindo
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20151221000324 | CA | Order and Referring Only - Internal Medicine | 9931400777 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Interoperability endpoints
- ggalindo5838@hpmg.direct-ci.net
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1382313600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1580428800000",
"number": "1104254671",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1600 CREEKSIDE DR",
"address_2": "SUITE 3800",
"city": "FOLSOM",
"state": "CA",
"postal_code": "956303444",
"telephone_number": "916-984-7830"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1600 CREEKSIDE DR",
"address_2": "SUITE 3800",
"city": "FOLSOM",
"state": "CA",
"postal_code": "956303444",
"telephone_number": "916-984-7830"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIBO",
"first_name": "GABY",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-10-21",
"last_updated": "2020-01-31",
"certification_date": "2020-01-31",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CA",
"license": "51233",
"primary": false
},
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "CA",
"license": "51233",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "GABY",
"last_name": "GALINDO",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Folsom, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.