Alysa Michelle Sibrian

Primary specialty

Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X

Practice address

1430 E Cooley Dr Ste 240
Colton, CA 92324-3936

Phone

(800) 675-6694

NPI assigned

Jun 1, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Alysa Michelle Macias Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1622505600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728950400000",
    "number": "1851967897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23085 CANYON HILLS DR",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928837637",
            "telephone_number": "909-455-8940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1430 E COOLEY DR STE 240",
            "city": "COLTON",
            "state": "CA",
            "postal_code": "923243936",
            "telephone_number": "800-675-6694"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIBRIAN",
        "first_name": "ALYSA",
        "middle_name": "MICHELLE",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-01",
        "last_updated": "2024-10-15",
        "certification_date": "2024-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALYSA",
            "last_name": "MACIAS",
            "middle_name": "MICHELLE",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Nedyne Shorts
• Ashi Shrivastava
• Paul Paul Shubin Jr.
• Chandler Shyu, MD
• Kodie Lee Sibbett
• Javed Siddiqi, MD
• Usman Siddiqui
• Shaun Sidhu
• Stella Sien, D.O.
• Carlos Alberto Siezar Jr.

• Student in an Organized Health Care Education/Training Program in Colton, CA
• Providers in Colton, CA by specialty
• Student in an Organized Health Care Education/Training Program in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2024; 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.