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
Sex
Male
Sole proprietor
No

Organizations & group practices 14

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.

View all 14

Hospital & facility affiliations 2

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

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 Clinic 28 clinicians

Practice addresses (Care Compare)

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

Hospital & facility affiliations

  • Novato Community Hospital Hospital, Novato, CA, CCN 050131
  • Marinhealth Medical Center Hospital, Greenbrae, CA, CCN 050360

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

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G83024CAMDInternal Medicine 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-Elderday Santa Cruz 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 PastSince Apr 16, 2002 Accepting new patients

Interoperability endpoints

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

Specialties & licenses 2

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

Addresses

NPPES NPI Registry

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

NPPES NPI Registry
IdentifierTypeStateIssuer
00G830240MedicaidCA

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Mar 7, 2023.

{
    "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.