Active NPI
George J. Zibilich Jr.
- Emergency Medicine Physician
- Arcata, CA
National Provider Identifier
1205898921
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- C37382
- Practice address
- 3800 Janes Rd
Arcata, CA 95521-4742 - Phone
- (707) 464-6372
- Fax
- (707) 464-9593
- NPI assigned
- Apr 6, 2006
- Last updated
- Jun 15, 2016
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | C37382 | CA | Primary |
Addresses
Primary practice location
3800 Janes Rd
Arcata, CA 95521-4742
Mailing address
1930 Henderson St
Eureka, CA 95501-3124
Phone (707) 616-8877
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00C373820 | Medicaid | CA |
Other names 1
- Dr. George J. Zibilich
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
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 37382 | CA | MD | Chiropractor |
| C37382 | CA | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Quantum Healthcare Medical Associates Inc. | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
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- NPI 1568490597
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144281600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1465948800000",
"number": "1205898921",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1930 HENDERSON ST",
"city": "EUREKA",
"state": "CA",
"postal_code": "955013124",
"telephone_number": "707-616-8877"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3800 JANES RD",
"city": "ARCATA",
"state": "CA",
"postal_code": "955214742",
"telephone_number": "707-464-6372",
"fax_number": "707-464-9593"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZIBILICH",
"first_name": "GEORGE",
"middle_name": "J.",
"name_suffix": "Jr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-06",
"last_updated": "2016-06-15",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "CA",
"license": "C37382",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00C373820",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "GEORGE",
"last_name": "ZIBILICH",
"middle_name": "J.",
"prefix": "DR.",
"credential": "M.D.",
"code": "2",
"type": "Professional Name"
}
]
}Other providers in Arcata, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.