Active NPI
Robert David Sibley Jr., M.D.
- Spinal Cord Injury Medicine Physician
- Los Angeles, CA
National Provider Identifier
1851597413
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Spinal Cord Injury Medicine Physician
- License
- G18661
- Practice address
- 10780 Santa Monica Blvd
Suite 490
Los Angeles, CA 90025 - Phone
- (310) 470-4343
- Fax
- (310) 470-4466
- NPI assigned
- Jun 21, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Spinal Cord Injury Medicine Physician | 2081P0004X | G18661 | CA | Primary |
Addresses
Primary practice location
10780 Santa Monica Blvd
Suite 490
Los Angeles, CA 90025
Mailing address
10780 Santa Monica Blvd
Suite 490
Los Angeles, CA 90025-4749
Phone (310) 470-4343
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 Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G18661 | CA | MD | Spinal Cord Injury Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| David S Campion MD a Medical Corp | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Clinical Neurophysiology Physician
- Los Angeles, CA
- NPI 1477877272
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1182384000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1411948800000",
"number": "1851597413",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10780 SANTA MONICA BLVD",
"address_2": "SUITE 490",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900254749",
"telephone_number": "310-470-4343",
"fax_number": "310-470-4466"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10780 SANTA MONICA BLVD",
"address_2": "SUITE 490",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "90025",
"telephone_number": "310-470-4343",
"fax_number": "310-470-4466"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIBLEY",
"first_name": "ROBERT",
"middle_name": "DAVID",
"name_suffix": "Jr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-06-21",
"last_updated": "2014-09-29",
"status": "A"
},
"taxonomies": [
{
"code": "2081P0004X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation, Spinal Cord Injury Medicine",
"state": "CA",
"license": "G18661",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.