Individual provider Active NPI

Sally T Barbella, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Newport Beach, CA
National Provider Identifier
1225317985
Registry record updated Feb 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
NP14062 Issued in CA
Practice address
3110 Park Newport Apt 410
Newport Beach, CA 92660-5847
Phone
(949) 584-1739
Fax
(949) 220-0886
NPI assigned
Aug 12, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 2, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X NP14062 CA
Psychiatric/Mental Health Nurse Practitioner 363LP0808X NP14062 CA Primary

Addresses

Primary practice location

3110 Park Newport Apt 410
Newport Beach, CA 92660-5847

Mailing address

3110 Park Newport Apt 410
Newport Beach, CA 92660-5847
Phone (949) 584-1739

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241018000765 CA Practitioner - Nurse Practitioner 8426580150 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sonoma County Indian Health Project IncGroup PAC ID 2961491238, 31 clinicians

Practice addresses (Care Compare)

144 Stony Point Rd
Santa Rosa, CA 95401-4122
Phone (707) 521-4545

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
NP14062CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Sonoma County Indian Health Project, Inc CurrentSince Aug 1, 2024 Accepting new patients
Sonoma County Indian Health Project, Inc Past Accepting new patients
Sonoma County Indian Health Project, Inc Past Accepting new patients

Locations

144 Stony Point Rd
Santa Rosa, CA 95401
Phone (707) 521-4500

Interoperability endpoints

  • Direct secure messaging: sally.barbella.p1@direct.scihp.nextgenshare.com
  • Direct secure messaging: sbarbella764113@direct.ochin.org

Organizations & group practices 3

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": "1313107200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580601600000",
    "number": "1225317985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3110 PARK NEWPORT APT 410",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926605847",
            "telephone_number": "949-584-1739",
            "fax_number": "949-220-0886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3110 PARK NEWPORT APT 410",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926605847",
            "telephone_number": "949-584-1739",
            "fax_number": "949-220-0886"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARBELLA",
        "first_name": "SALLY",
        "middle_name": "T",
        "name_prefix": "Ms.",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-08-12",
        "last_updated": "2020-02-02",
        "certification_date": "2020-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "NP14062",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CA",
            "license": "NP14062",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport Beach, CA

Sources for this page

Verify at the official NPI Registry.