Tamara Sibala, BSN, RN, PHN, CPN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

711961 Issued in CA

Practice address

338 S Dakota Ave
Vandenberg Afb, CA 93437-6307

Phone

(805) 605-2657

Fax

(805) 606-4381

NPI assigned

Jan 15, 2025

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Maria Tamara Aguilar Sibala Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor on Science - Nursing, Registered Nurse

State licenses

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

{
    "created_epoch": "1736899200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736899200000",
    "number": "1699586149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "338 S DAKOTA AVE",
            "city": "VANDENBERG AFB",
            "state": "CA",
            "postal_code": "934376307",
            "telephone_number": "805-605-2657",
            "fax_number": "805-606-4381"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "338 S DAKOTA AVE",
            "city": "VANDENBERG AFB",
            "state": "CA",
            "postal_code": "934376307",
            "telephone_number": "805-605-2657",
            "fax_number": "805-606-4381"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIBALA",
        "first_name": "TAMARA",
        "credential": "BSN, RN, PHN, CPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-01-15",
        "last_updated": "2025-01-15",
        "certification_date": "2025-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "711961",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARIA TAMARA",
            "last_name": "SIBALA",
            "middle_name": "AGUILAR",
            "credential": "LVN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Peter Daniel Reinhardt
• Catherine Roland, PHD, CPNP
• Brice Rosby, PHYSICAL THERAPIST
• Anderson Rowan, PHD
• Peter David Scott, MD
• Christopher Jason Smith, D.D.S.
• Dwayne Smoot Jr., MSW
• Jordan Lynn Sullivan, RN
• Nicole Tatick
• Andrea Taylor, DPT

• All providers in Vandenberg Afb, CA
• Registered Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2025; 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.