Active NPI
Sonnier Faye Sibley, PA-C
- Physician Assistant
- San Diego, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 56521
- Practice address
- 823 Gateway Center Way
San Diego, CA 92102-4541 - Phone
- (619) 906-4623
- NPI assigned
- Jun 29, 2017
- Last updated
- May 16, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 197687 | OR | |
| Physician Assistant | 363A00000X | 6735 | AZ | |
| Physician Assistant | 363A00000X | 56521 | CA | Primary |
Addresses
Primary practice location
823 Gateway Center Way
San Diego, CA 92102-4541
Mailing address
111 Bank St # 162
Grass Valley, CA 95945-6518
Phone (928) 240-8279
Other practice location 1
320 E Deuce of Clubs
Show Low, AZ 85901
Phone (928) 532-3926
Other practice location 2
1550 Broadway Ste 2
San Diego, CA 92101-5713
Phone (619) 515-2525
Other names 1
- Sonnier Faye Vander Ploeg
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: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3514 30TH St
San Diego, CA 92104-4120
Phone (619) 515-2424
3544 30TH St
San Diego, CA 92104-4120
Phone (619) 515-2424
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 197687 | OR | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Family Health Centers of San Diego, Inc | Current | Accepting new patients | |
| Family Health Centers of San Diego, Inc | Current | Accepting new patients |
Locations
1550 Broadway
#2
San Diego, CA 92101
Phone (619) 515-2525
823 Gateway Center Way
San Diego, CA 92102
Phone (619) 515-2323
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Logan Heights Family Health Center
- Federally Qualified Health Center (FQHC)
- San Diego, CA
- NPI 1447281936
-
dba Chula Vista Family Health Center
- Federally Qualified Health Center (FQHC)
- Chula Vista, CA
- NPI 1346480837
-
dba Escondido Physical Health and Wellness
- Federally Qualified Health Center (FQHC)
- Escondido, CA
- NPI 1356178180
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1498694400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1684195200000",
"number": "1598286536",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "111 BANK ST # 162",
"city": "GRASS VALLEY",
"state": "CA",
"postal_code": "959456518",
"telephone_number": "928-240-8279"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "823 GATEWAY CENTER WAY",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921024541",
"telephone_number": "619-906-4623"
}
],
"practiceLocations": [
{
"address_1": "320 E Deuce of Clubs",
"address_purpose": "LOCATION",
"city": "Show Low",
"state": "AZ",
"postal_code": "85901",
"country_code": "US",
"telephone_number": "928-532-3926",
"fax_number": "928-537-9634",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1550 Broadway Ste 2",
"address_purpose": "LOCATION",
"city": "San Diego",
"state": "CA",
"postal_code": "921015713",
"country_code": "US",
"telephone_number": "619-515-2525",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SIBLEY",
"first_name": "SONNIER",
"middle_name": "FAYE",
"name_prefix": "Ms.",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-06-29",
"last_updated": "2023-05-16",
"certification_date": "2023-05-16",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "OR",
"license": "197687",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "AZ",
"license": "6735",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CA",
"license": "56521",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "SONNIER",
"last_name": "VANDER PLOEG",
"middle_name": "FAYE",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2023; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.