Jerome Brian Riebman, MD

Primary specialty

Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X

License

G79642 Issued in CA

Practice address

3421 Villa LN
Suite 2a
Napa, CA 94558-6402

Phone

(707) 254-9640

Fax

(707) 254-9698

NPI assigned

Jul 1, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Napa Valley Cardiac and Thoracic Surgery, Incorporated

  • Specialist
  • Napa, CA
  • NPI 1992714471
  NPD (past)

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

{
    "created_epoch": "1151712000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1211068800000",
    "number": "1780613802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5906 SAILING HAWK AVE",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954097313",
            "telephone_number": "707-538-5503",
            "fax_number": "707-538-5507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3421 VILLA LN",
            "address_2": "SUITE 2A",
            "city": "NAPA",
            "state": "CA",
            "postal_code": "945586402",
            "telephone_number": "707-254-9640",
            "fax_number": "707-254-9698"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIEBMAN",
        "first_name": "JEROME",
        "middle_name": "BRIAN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-01",
        "last_updated": "2008-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "CA",
            "license": "G79642",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G796420",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alexis Richmond
• Thomas E. Richmond, R.PH.
• Andrea Garcia Rico
• Rafael Ricon
• Keisha Riddick
• Sharon Christine Riise
• Kobita Rikhye, PSYD
• Christina Maria Rincon
• Angelina Ring, DDS
• Allan Anthony Ringard, DDS

• Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician in Napa, CA
• Providers in Napa, CA by specialty
• Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2008; 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.