Individual provider Active NPI

James Peter Srebro, MD

  • Interventional Cardiology Physician
  • Napa, CA
National Provider Identifier
1629048814
Registry record updated Nov 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
C41241 Issued in CA
Practice address
3443 Villa LN
Suite 2
Napa, CA 94558-6417
Phone
(707) 253-8280
Fax
(707) 253-7023
NPI assigned
Jan 23, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X C41241 CA
Interventional Cardiology Physician 207RI0011X C41241 CA Primary

Addresses

Primary practice location

3443 Villa LN
Suite 2
Napa, CA 94558-6417

Mailing address

3443 Villa LN
Suite 2
Napa, CA 94558-6417
Phone (707) 253-8280

Other identifiers 1

IdentifierTypeStateIssuer
00C412410MedicaidCA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jsrebro1658347@oc.providencedirect.org

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
I20080626000199 CA Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal MedicinePractitioner - Interventional Cardiology 4789678608 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine, Interventional Cardiology
Education
University of North Carolina at Chapel Hill School of Medicine, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Providence Medical FoundationGroup PAC ID 8921993205, 1,461 clinicians

Practice addresses (Care Compare)

1000 Trancas St
Napa, CA 94558-2906
Phone (707) 252-4411

1100 Trancas St
Napa, CA 94558-2909

1100 Trancas St
Suite 350
Napa, CA 94558-2959
Phone (707) 251-3681

1165 Montgomery Dr
Santa Rosa, CA 95405-4801
Phone (707) 546-3210

141 Lynch Creek Way
Suite C
Petaluma, CA 94954-2390
Phone (707) 763-0802

200 W Ctr St Promenade
Anaheim, CA 92805-3960

2700 Dolbeer St
Eureka, CA 95501-4736
Phone (707) 445-8121

2710 Dolbeer St
Eureka, CA 95501-4736
Phone (707) 267-2060

3443 Villa LN
Napa, CA 94558-6417

3448 Villa LN
Suite 102
Napa, CA 94558-6471
Phone (707) 253-8280

500 Doyle Park Dr
Santa Rosa, CA 95405-4559

Hospital & facility affiliations

  • Providence Queen of the Valley Medical Center Hospital, Napa, CA, CCN 050009
  • Adventist Health St Helena Hospital, Saint Helena, CA, CCN 050013
  • Sonoma Valley Hospital Hospital, Sonoma, CA, CCN 050090
  • Sutter Medical Center, Sacramento Hospital, Sacramento, CA, CCN 050108
  • Providence Santa Rosa Memorial Hospital Hospital, Santa Rosa, CA, CCN 050174

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
C41241CAMDCardiovascular Disease Physician
41241CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Providence Medical Foundation CurrentSince Dec 9, 2013 Accepting new patients
Providence Medical Foundation CurrentSince Dec 9, 2013 Accepting new patients
Providence Medical Foundation Current Accepting new patients
St. Joseph Health Northern California, LLC Past Accepting new patients
Providence Medical Foundation Past Accepting new patients
University of California San Francisco Past Accepting new patients
Sutter East Bay Medical Foundation Cardiovascular Disease Past Accepting new patients

Locations

200 W Ctr St Promenade
Ste 400
Anaheim, CA 92805

3443 Villa Ln
Ste 2
Napa, CA 94558
Phone (415) 927-7894

1100 Trancas St
Ste 252
Napa, CA 94558
Phone (707) 251-3519

1000 Trancas St
Napa, CA 94558
Phone (707) 226-2901

1100 Trancas St
Ste 209
Napa, CA 94558
Phone (707) 251-1850

141 Lynch Creek Way
Ste C
Petaluma, CA 94954
Phone (707) 763-0802

500 Doyle Park Dr
Ste 100
Santa Rosa, CA 95405
Phone (714) 449-4842

1165 Montgomery Dr
#1112
Santa Rosa, CA 95405
Phone (707) 546-3210

Organizations & group practices 8

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.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1137974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636502400000",
    "number": "1629048814",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3443 VILLA LN",
            "address_2": "SUITE 2",
            "city": "NAPA",
            "state": "CA",
            "postal_code": "945586417",
            "telephone_number": "707-253-8280",
            "fax_number": "707-253-7023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3443 VILLA LN",
            "address_2": "SUITE 2",
            "city": "NAPA",
            "state": "CA",
            "postal_code": "945586417",
            "telephone_number": "707-253-8280",
            "fax_number": "707-253-7023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SREBRO",
        "first_name": "JAMES",
        "middle_name": "PETER",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-23",
        "last_updated": "2021-11-10",
        "certification_date": "2021-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "CA",
            "license": "C41241",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "CA",
            "license": "C41241",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00C412410",
            "state": "CA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jsrebro1658347@oc.providencedirect.org",
            "affiliation": "N",
            "address_1": "3443 Villa Ln",
            "address_2": "Suite 2",
            "city": "Napa",
            "state": "CA",
            "country_code": "US",
            "postal_code": "945586417",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Napa, CA

Sources for this page

Verify at the official NPI Registry.