Individual provider Active NPI

Camila Susana Cribb Fabersunne, M.D., M.P.H

  • Pediatrics Physician
  • San Francisco, CA
National Provider Identifier
1407241581
Registry record updated Dec 3, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
A146835 Issued in CA
Practice address
1975 4TH St
UCSF Benioff Children'S Hospital
San Francisco, CA 94158-2351
Phone
(415) 476-9000
NPI assigned
Apr 5, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 3, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X A146835 CA Primary

Addresses

Primary practice location

1975 4TH St
UCSF Benioff Children'S Hospital
San Francisco, CA 94158-2351

Mailing address

PO Box 0110
550 16TH Street, 4TH Floor, 4551
San Francisco, CA 94143-0001
Phone (415) 476-9000

Medicare participation

Medicare enrollment files
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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180716002074 CA Practitioner - Pediatric Medicine 0042587974 Reassigns benefits to 5 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A146835CAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
UCSF Pediatrics Associates Pediatrics CurrentSince Jun 30, 2018 Accepting new patients
UCSF Medical Group Business Services CurrentSince Jun 30, 2018 Accepting new patients
University of California SFGH Medical Group Current Accepting new patients
University of California San Francisco Pediatrics CurrentSince Jun 30, 2018 Accepting new patients
University of California SFGH Medical Group CurrentSince Jul 1, 2018 Accepting new patients
City and County of San Francisco CurrentSince May 19, 2020 Accepting new patients
University of California San Francisco Pediatrics Current Accepting new patients
University of California San Francisco CurrentSince Jun 30, 2018 Accepting new patients
UCSF Medical Group Business Services CurrentSince Jun 30, 2018 Accepting new patients
City & County of San Francisco Current Accepting new patients
University of California SFGH Medical Group CurrentSince Jul 1, 2018 Accepting new patients
University of California San Francisco Medical Center Past Accepting new patients

Locations

1001 Potrero Ave
San Francisco, CA 94110
Phone (415) 206-2305

400 Parnassus Ave
#A632
San Francisco, CA 94143
Phone (415) 473-1000

1825 4th St
#A4519
San Francisco, CA 94143

1001 Potrero Ave
Rm 5H22
San Francisco, CA 94110
Phone (628) 206-4774

550 16th St
Fl 4
San Francisco, CA 94143
Phone (415) 476-5001

1975 4th St
San Francisco, CA 94143
Phone (415) 353-3000

505 Parnassus Ave
San Francisco, CA 94143
Phone (415) 476-9058

2330 Post St
San Francisco, CA 94115
Phone (415) 502-4444

400 Parnassus Ave
#300
San Francisco, CA 94143
Phone (415) 476-2163

Interoperability endpoints

  • Direct secure messaging: ccribbfabersunne72448@direct-ucsfmedicalcenter.org

Organizations & group practices 12

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.

NPI Registry JSON

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

{
    "created_epoch": "1428192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1543795200000",
    "number": "1407241581",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 0110",
            "address_2": "550 16TH STREET, 4TH FLOOR, 4551",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941430001",
            "telephone_number": "415-476-9000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1975 4TH ST",
            "address_2": "UCSF BENIOFF CHILDREN'S HOSPITAL",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941582351",
            "telephone_number": "415-476-9000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FABERSUNNE",
        "first_name": "CAMILA",
        "middle_name": "SUSANA CRIBB",
        "credential": "M.D., M.P.H",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-04-05",
        "last_updated": "2018-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "A146835",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

Verify at the official NPI Registry.