Jeannette Valenzuela Kong Sibal, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

A49593 Issued in CA

Practice address

100 Independence Cir
Chico, CA 95973-0258

Phone

(530) 899-0143

Fax

(530) 899-0142

NPI assigned

May 18, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1147910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1477440000000",
    "number": "1821041419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 INDEPENDENCE CIR",
            "city": "CHICO",
            "state": "CA",
            "postal_code": "959730258",
            "telephone_number": "530-899-0143",
            "fax_number": "530-899-0142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 INDEPENDENCE CIR",
            "city": "CHICO",
            "state": "CA",
            "postal_code": "959730258",
            "telephone_number": "530-899-0143",
            "fax_number": "530-899-0142"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KONG SIBAL",
        "first_name": "JEANNETTE",
        "middle_name": "VALENZUELA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-18",
        "last_updated": "2016-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A49593",
            "primary": true
        },
        {
            "code": "207QG0300X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": "CA",
            "license": "A49593",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christ A Kokinos, PHARMD
• Kokoro Counseling Center, Inc., a Licensed Clinical Social Worker
• Suzanne Kolko
• Nancy Anne Koloski-Lui, RN
• Nicholas Michael Komas, MD
• Andrew William Konitzer Jr.
• Taylor A Konkin, MD
• Amanda Brianna Konyn
• Jeffrey Kopack
• Noelle Kopping

• Family Medicine Physician in Chico, CA
• Providers in Chico, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2016; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.