Active NPI
John Edward Nigbor, PSYD
- Clinical Psychologist
- Chino, CA
National Provider Identifier
1811334204
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PSY22671
- Practice address
- 7009 Edinboro St
Chino, CA 91710-6943 - Phone
- (909) 636-9669
- NPI assigned
- May 27, 2013
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PSY22671 | CA | Primary |
| Forensic Psychologist | 103TF0200X | PSY22671 | CA |
Addresses
Primary practice location
7009 Edinboro St
Chino, CA 91710-6943
Mailing address
7009 Edinboro St
Chino, CA 91710-6943
Phone (909) 636-9669
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1369612800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1369612800000",
"number": "1811334204",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7009 EDINBORO ST",
"city": "CHINO",
"state": "CA",
"postal_code": "917106943",
"telephone_number": "909-636-9669"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7009 EDINBORO ST",
"city": "CHINO",
"state": "CA",
"postal_code": "917106943",
"telephone_number": "909-636-9669"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NIGBOR",
"first_name": "JOHN",
"middle_name": "EDWARD",
"name_prefix": "Dr.",
"credential": "PSYD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-05-27",
"last_updated": "2013-05-27",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CA",
"license": "PSY22671",
"primary": true
},
{
"code": "103TF0200X",
"taxonomy_group": "",
"desc": "Psychologist, Forensic",
"state": "CA",
"license": "PSY22671",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chino, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.