Individual provider Active NPI

Sabrina Katigbak, NP

  • Primary Care Nurse Practitioner
  • Long Beach, CA
National Provider Identifier
1861110041
Registry record updated Aug 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
95022045 Issued in CA
Practice address
220 E 4TH St
Long Beach, CA 90802-2485
Phone
(888) 530-4415
NPI assigned
Aug 15, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 15, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LP2300X 95022045 CA Primary

Addresses

Primary practice location

220 E 4TH St
Long Beach, CA 90802-2485

Mailing address

20 Park Ave
Long Beach, CA 90803-3145
Phone (949) 633-2145

Medicare participation

Medicare enrollment files
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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241219001109 CA Order and Referring Only - Nurse Practitioner 6507393212

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
95022045CAMDPrimary Care Nurse Practitioner

Interoperability endpoints

  • Direct secure messaging: sabrina.katigbak.1@17371.direct.athenahealth.com

NPI Registry JSON

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

{
    "created_epoch": "1660521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660521600000",
    "number": "1861110041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 PARK AVE",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908033145",
            "telephone_number": "949-633-2145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 E 4TH ST",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908022485",
            "telephone_number": "888-530-4415"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KATIGBAK",
        "first_name": "SABRINA",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-08-15",
        "last_updated": "2022-08-15",
        "certification_date": "2022-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "CA",
            "license": "95022045",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Long Beach, CA

Sources for this page

Verify at the official NPI Registry.