Organization Active NPI

Mona I Sarbu

  • Nephrology Physician
  • Chico, CA
National Provider Identifier
1720117492
Registry record updated Dec 15, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
A87908 Issued in CA
Legal business name
MONA I SARBU
Practice address
3011 Ceres Ave
Ste 100
Chico, CA 95973-5635
Phone
(530) 899-7090
Fax
(530) 899-2765
NPI assigned
Mar 5, 2007
Last updated
Dec 15, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2014

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

Authorized official

Name
Mona I SarbuNPI 1639250855
Title
Owner
Phone
(530) 899-7090

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X A87908 CA Primary

Addresses

Primary practice location

3011 Ceres Ave
Ste 100
Chico, CA 95973-5635

Mailing address

3011 Ceres Ave
Ste 100
Chico, CA 95973-5635
Phone (530) 899-7090

Other identifiers 2

IdentifierTypeStateIssuer
GR0101470MedicaidCA
DE0052OtherMEDICARE RAILROAD #

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20051011000490 CA Part B Supplier - Clinic/Group Practice 6305861188 Receives reassigned benefits from 2 practitioners
Practice locations: Chico, CA

National Provider Directory

National Provider Directory

Locations

1020 Village Ln
Chico, CA 95926
Phone (530) 520-9169

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1173052800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1418601600000",
    "number": "1720117492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3011 CERES AVE",
            "address_2": "STE 100",
            "city": "CHICO",
            "state": "CA",
            "postal_code": "959735635",
            "telephone_number": "530-899-7090",
            "fax_number": "530-899-2765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3011 CERES AVE",
            "address_2": "STE 100",
            "city": "CHICO",
            "state": "CA",
            "postal_code": "959735635",
            "telephone_number": "530-899-7090",
            "fax_number": "530-899-2765"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONA I SARBU",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-05",
        "last_updated": "2014-12-15",
        "status": "A",
        "authorized_official_last_name": "SARBU",
        "authorized_official_first_name": "MONA",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "530-899-7090"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "CA",
            "license": "A87908",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0101470",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD #",
            "identifier": "DE0052",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chico, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.