Active NPI
Sally T Barbella, NP
- Psychiatric/Mental Health Nurse Practitioner
- Newport Beach, CA
National Provider Identifier
1225317985
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- NP14062
- 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
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 |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| NP14062 | CA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sonoma County Indian Health Project, Inc | Current | 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
- sally.barbella.p1@direct.scihp.nextgenshare.com
- 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.
-
- Federally Qualified Health Center (FQHC)
- Santa Rosa, CA
- NPI 1265457980
-
- Community/Retail Pharmacy
- Santa Rosa, CA
- NPI 1568461267
-
- Federally Qualified Health Center (FQHC)
- Point Arena, CA
- NPI 1578729380
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.