Individual provider Active NPI

Daniel John Bibelheimer, M.D.

  • Family Medicine Physician
  • Grass Valley, CA
National Provider Identifier
1255548079
Registry record updated Jul 24, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
G26423 Issued in CA
Practice address
900 E Main St
Suite 301
Grass Valley, CA 95945-5853
Phone
(530) 271-3200
Fax
(530) 274-6367
NPI assigned
May 17, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 24, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X G26423 CA Primary

Addresses

Primary practice location

900 E Main St
Suite 301
Grass Valley, CA 95945-5853

Mailing address

900 E Main St
Suite 301
Grass Valley, CA 95945-5853
Phone (530) 271-3200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
26423CAMDClinical Social Worker
G26423CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Michael B Macquarrie MD Inc Past Accepting new patients
Golden State Physicians Medical Group Past Accepting new patients
Ridge Medical Group Inc. Family Medicine Past Accepting new patients

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": "1179360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1185235200000",
    "number": "1255548079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 E MAIN ST",
            "address_2": "SUITE 301",
            "city": "GRASS VALLEY",
            "state": "CA",
            "postal_code": "959455853",
            "telephone_number": "530-271-3200",
            "fax_number": "530-274-6367"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 E MAIN ST",
            "address_2": "SUITE 301",
            "city": "GRASS VALLEY",
            "state": "CA",
            "postal_code": "959455853",
            "telephone_number": "530-271-3200",
            "fax_number": "530-274-6367"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BIBELHEIMER",
        "first_name": "DANIEL",
        "middle_name": "JOHN",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-17",
        "last_updated": "2007-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "G26423",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grass Valley, CA

Sources for this page

Verify at the official NPI Registry.