NPIMap

Individual provider Active NPI

Jose Adolfo Chibras Sainz, MD

  • Internal Medicine Physician
  • Healdsburg, CA
National Provider Identifier
1265622286
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
G83024 Issued in CA
Practice address
1381 University St
Healdsburg, CA 95448-3314
Phone
(707) 385-2311
Fax
(707) 431-1427
NPI assigned
Jul 26, 2007
Last updated
Mar 7, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X G83024 CA Primary
Surgery Physician 208600000X G83024 CA

Addresses

Primary practice location

1381 University St
Healdsburg, CA 95448-3314

Mailing address

1381 University St
Healdsburg, CA 95448-3314
Phone (707) 385-2311

Other identifiers 1

IdentifierTypeStateIssuer
00G830240MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110203000978 CA Practitioner - Internal Medicine 3072600469 Practice locations: Novato, CA

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Michigan State University College of Human Medicine, 1990
Medicare assignment
May accept Medicare assignment
Group practices
Marin Community ClinicGroup PAC ID 0840108031, shared by 7 NPIs, 28 clinicians

Practice addresses (Care Compare)

6090 Redwood Blvd
Novato, CA 94945-4569
Phone (415) 448-1500

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G83024CAMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Salud Para la Gente PastSince Apr 16, 2002 Accepting new patients
Salud Para la Gente PastSince Apr 16, 2002 Accepting new patients
Salud Para la Gente PastSince Apr 16, 2002 Accepting new patients
Salud Para la Gente PastSince Apr 16, 2002 Accepting new patients
Salud Para la Gente Beach Flats Health Ctr PastSince Apr 16, 2002 Accepting new patients
Salud Para la Gente PastSince Apr 16, 2002 Accepting new patients
Salud Para la Gente-Elderday Santa Cruz PastSince Apr 16, 2002 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: jchibras584882@direct.ochin.org

Organizations & group practices 7

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1185408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1265622286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1381 UNIVERSITY ST",
            "city": "HEALDSBURG",
            "state": "CA",
            "postal_code": "954483314",
            "telephone_number": "707-385-2311",
            "fax_number": "707-431-1427"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1381 UNIVERSITY ST",
            "city": "HEALDSBURG",
            "state": "CA",
            "postal_code": "954483314",
            "telephone_number": "707-385-2311",
            "fax_number": "707-431-1427"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHIBRAS SAINZ",
        "first_name": "JOSE",
        "middle_name": "ADOLFO",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-26",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "G83024",
            "primary": true
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "CA",
            "license": "G83024",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G830240",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Healdsburg, CA

Sources for this page

Verify at the official NPI Registry.