Victor B Libbey, P.A.-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA15176 Issued in CA

Practice address

2020 J St
Sacramento, CA 95811-3120

Phone

(916) 341-0576

NPI assigned

Jun 7, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: victor.libbey.p1@direct.snahc.nextgenshare.com

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.

• Alameda Health System

  • Surgery Physician
  • Oakland, CA
  • NPI 1740332931
  Medicare reassignment
• Sacramento Native American Health Center Inc

  • Federally Qualified Health Center (FQHC)
  • Sacramento, CA
  • NPI 1588756530
  Medicare reassignment
• Alameda Health System

  • Federally Qualified Health Center (FQHC)
  • Hayward, CA
  • NPI 1023219821
  NPD
• Alameda Health System

  • Federally Qualified Health Center (FQHC)
  • Newark, CA
  • NPI 1497956288
  NPD

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

{
    "created_epoch": "1149638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1590969600000",
    "number": "1295775401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 POWELL STREET",
            "address_2": "SUITE 900",
            "city": "EMERYVILLE",
            "state": "CA",
            "postal_code": "946081803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2020 J ST",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958113120",
            "telephone_number": "916-341-0576"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2540 East Street",
            "address_purpose": "LOCATION",
            "city": "Concord",
            "state": "CA",
            "postal_code": "945201906",
            "country_code": "US",
            "telephone_number": "925-682-8200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LIBBEY",
        "first_name": "VICTOR",
        "middle_name": "B",
        "credential": "P.A.-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-07",
        "last_updated": "2020-06-01",
        "certification_date": "2020-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA15176",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kang-Yi Liao, MD
• Sherry Liao, MD
• Vivian Petra Liao
• Wei-Hsun Liao, M.D. PH.D
• Celeste Amber Rose Liaty
• Michael Vincent Liberato, PA-C
• Yevgeniya Libershteyn, O. D.
• Dusk Mattie Thomas Libertine, AMFT 164580
• Barbara Jean Liberty-Vick, LMFT
• Dean Libet, MD

• Physician Assistant in Sacramento, CA
• Providers in Sacramento, CA by specialty
• Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.