Active NPI
Kaitlyn Alibrando, PA-C
- Physician Assistant
- Stanford, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 64188
- Practice address
- 300 Pasteur Dr
Stanford, CA 94305-2200 - Phone
- (650) 723-4000
- NPI assigned
- Sep 12, 2017
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 25MP00445600 | NJ | |
| Physician Assistant | 363A00000X | 64188 | CA | Primary |
Addresses
Primary practice location
300 Pasteur Dr
Stanford, CA 94305-2200
Mailing address
300 Pasteur Dr
Stanford, CA 94305-2200
Phone (650) 723-4000
Other practice location 1
100 Bowman Dr Fl 1
Voorhees, NJ 08043
Phone (856) 247-2594
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | kalibrando17667@directvirtua.org |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ, CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
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)
1505 Victor Ave
Redding, CA 96003-4031
Phone (530) 242-7273
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 64188 | CA | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Virtua Medical Group, PA | Current | Accepting new patients | |
| Virtua Medical Group, PA | Physician Assistant | Current | Accepting new patients |
| Stanford Health Care | Current | Accepting new patients | |
| Innovative Sleep Centers, Inc. | Current | Accepting new patients | |
| Stanford Health Care | Current | Accepting new patients | |
| Virtua Medical Group, PA | Past | Accepting new patients |
Locations
35 Jan Ct
#150
Chico, CA 95928
Phone (530) 899-8853
1505 Victor Ave
Redding, CA 96003
Phone (530) 242-7273
300 Pasteur Dr
Stanford, CA 94305
Phone (650) 498-5710
1558 Poole Blvd
Ste B
Yuba City, CA 95993
Phone (530) 674-2328
3242 Route 206
Ste 2
Bordentown, NJ 08505
Phone (609) 298-4340
301 Lippincott Dr
Ste 120
Marlton, NJ 08053
Phone (856) 355-0333
100 Bowman Dr
Fl 1
Voorhees, NJ 08043
Phone (856) 247-2645
260 Lee St SW
Tumwater, WA 98501
Phone (360) 459-5900
Interoperability endpoints
- kalibrando17667@directvirtua.org
- https://api.platform.athenahealth.com/17033/brand/1/csg/1/fhir/r4
- kaitlyn.alibrando.1@17033.direct.athenahealth.com
Organizations & group practices 9
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.
-
- Sleep Medicine (Psychiatry & Neurology) Physician
- Redding, CA
- NPI 1538564463
-
- Family Medicine Physician
- Marlton, NJ
- NPI 1649226515
-
- Children's Hospital
- Palo Alto, CA
- NPI 1417907940
-
- General Acute Care Hospital
- Stanford, CA
- NPI 1437292927
-
- General Practice Physician
- Princeton, NJ
- NPI 1174187728
-
- Radiation Oncology Physician
- Pleasanton, CA
- NPI 1124561758
-
- Specialty Pharmacy
- Mountain View, CA
- NPI 1760366132
-
- Orthopaedic Surgery Physician
- Delran, NJ
- NPI 1841087988
Physician Assistant
-
- Urgent Care Clinic/Center
- Mount Holly, NJ
- NPI 1851841696
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1505174400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1731283200000",
"number": "1760901763",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 PASTEUR DR",
"city": "STANFORD",
"state": "CA",
"postal_code": "943052200",
"telephone_number": "650-723-4000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 PASTEUR DR",
"city": "STANFORD",
"state": "CA",
"postal_code": "943052200",
"telephone_number": "650-723-4000"
}
],
"practiceLocations": [
{
"address_1": "100 Bowman Dr Fl 1",
"address_purpose": "LOCATION",
"city": "Voorhees",
"state": "NJ",
"postal_code": "08043",
"country_code": "US",
"telephone_number": "856-247-2594",
"fax_number": "856-247-2597",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ALIBRANDO",
"first_name": "KAITLYN",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-09-12",
"last_updated": "2024-11-11",
"certification_date": "2024-11-11",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NJ",
"license": "25MP00445600",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CA",
"license": "64188",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "kalibrando17667@directvirtua.org",
"affiliation": "N",
"address_1": "100 Bowman Dr Fl 1",
"city": "Voorhees",
"state": "NJ",
"country_code": "US",
"postal_code": "08043",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Stanford, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2024; 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.