Active NPI
Caesar Gerald Sibbu Asis, RN
- Registered Nurse
- Anchorage, AK
National Provider Identifier
1649557646
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 797463
- Practice address
- 2313 W 47TH Ave.
Anchorage, AK 99517-3168 - Phone
- (907) 317-8364
- NPI assigned
- Nov 4, 2011
- Last updated
- Nov 4, 2011
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 797463 | CA | Primary |
Addresses
Primary practice location
2313 W 47TH Ave.
Anchorage, AK 99517-3168
Mailing address
2313 W 47TH Ave
Anchorage, AK 99517-3168
Phone (907) 317-8364
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 797463 | CA | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1320364800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1320364800000",
"number": "1649557646",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2313 W 47TH AVE",
"city": "ANCHORAGE",
"state": "AK",
"postal_code": "995173168",
"telephone_number": "907-317-8364"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2313 W 47TH AVE.",
"city": "ANCHORAGE",
"state": "AK",
"postal_code": "995173168",
"telephone_number": "907-317-8364"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ASIS",
"first_name": "CAESAR GERALD",
"middle_name": "SIBBU",
"credential": "RN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-11-04",
"last_updated": "2011-11-04",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "CA",
"license": "797463",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Anchorage, AK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.