Organization Active NPI

Nancy Shibayama, M.D., Inc

  • Specialist
  • Auburn, CA
National Provider Identifier
1316132947
Registry record updated Sep 11, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
G77126 Issued in CA
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, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2017

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.NPI 1346242674
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)CodeLicenseStatePrimary
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 Directory

Locations

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.

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.

Verify at the official NPI Registry.