Active NPI
Nancy Shibayama, M.D., Inc
- Specialist
- Auburn, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- G77126
- Legal business name
- NANCY SHIBAYAMA, M.D., INC
- Practice address
- 11795 Education St
Suite #209
Auburn, CA 95602-2454 - Phone
- (530) 886-6700
- Fax
- (530) 886-6701
- NPI assigned
- Sep 6, 2007
- Last updated
- Sep 11, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Nancy S Shibayama, M.D.
- Title
- Medical Provider
- Phone
- (530) 886-6700
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | G77126 | CA | Primary |
Addresses
Primary practice location
11795 Education St
Suite #209
Auburn, CA 95602-2454
Mailing address
11795 Education St
Suite #209
Auburn, CA 95602-2469
Phone (530) 886-6700
National Provider Directory
National Provider DirectoryLocations
11795 Education St
Ste 209
Auburn, CA 95602
Phone (530) 886-6700
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Internal Medicine Physician
- Auburn, CA
- NPI 1346242674
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1189036800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1505088000000",
"number": "1316132947",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11795 EDUCATION ST",
"address_2": "SUITE #209",
"city": "AUBURN",
"state": "CA",
"postal_code": "956022469",
"telephone_number": "530-886-6700",
"fax_number": "530-886-6701"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11795 EDUCATION ST",
"address_2": "SUITE #209",
"city": "AUBURN",
"state": "CA",
"postal_code": "956022454",
"telephone_number": "530-886-6700",
"fax_number": "530-886-6701"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NANCY SHIBAYAMA, M.D., INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-09-06",
"last_updated": "2017-09-11",
"status": "A",
"authorized_official_last_name": "SHIBAYAMA",
"authorized_official_first_name": "NANCY",
"authorized_official_middle_name": "S",
"authorized_official_title_or_position": "MEDICAL PROVIDER",
"authorized_official_telephone_number": "530-886-6700",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "CA",
"license": "G77126",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Auburn, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.