Individual provider Active NPI

Kaitlyn Alibrando, PA-C

  • Physician Assistant
  • Stanford, CA
National Provider Identifier
1760901763
Registry record updated Nov 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
64188 Issued in CA
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

Updated by the provider on Nov 11, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

TypeEndpointUseAffiliation
Direct Messaging Address kalibrando17667@directvirtua.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, CA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20180523001326 NJ Practitioner - Physician Assistant 0941565907 Reassigns benefits to 2 organizations
I20240819000877 CA Practitioner - Physician Assistant 0941565907 Reassigns benefits to 3 organizations

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
Innovative Sleep Centers IncGroup PAC ID 8921326760, 6 clinicians

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

LicenseStateTypeSpecialty
64188CAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Virtua Medical Group, PA CurrentSince Apr 15, 2018 Accepting new patients
Virtua Medical Group, PA Physician Assistant CurrentSince Apr 15, 2018 Accepting new patients
Stanford Health Care CurrentSince Aug 5, 2024 Accepting new patients
Innovative Sleep Centers, Inc. CurrentSince Jan 1, 2026 Accepting new patients
Stanford Health Care CurrentSince Aug 5, 2024 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

  • Direct secure messaging: kalibrando17667@directvirtua.org
  • FHIR API: https://api.platform.athenahealth.com/17033/brand/1/csg/1/fhir/r4
  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.