Willie Bible III

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Practice address

2745 Owens St
Fairfield, CA 94534-3013

Phone

(323) 440-0429

NPI assigned

Feb 9, 2021

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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": "1612828800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612828800000",
    "number": "1881286151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2745 OWENS ST",
            "city": "FAIRFIELD",
            "state": "CA",
            "postal_code": "945343013",
            "telephone_number": "323-440-0429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2745 OWENS ST",
            "city": "FAIRFIELD",
            "state": "CA",
            "postal_code": "945343013",
            "telephone_number": "323-440-0429"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BIBLE",
        "first_name": "WILLIE",
        "name_prefix": "Mr.",
        "name_suffix": "III",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-02-09",
        "last_updated": "2021-02-09",
        "certification_date": "2021-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kiarah Bey
• Yasmeen Bey
• Neeta Bhasin
• Akbar Marvin Bibb
• Raymona Bibb
• Joseph Francis Bielefeld, PMHNP-BC/FNP
• Katie Lane Billings
• Jennifer Nicole Binion
• Erin Elise Binstock
• Sarah E Biondolillo

• Community/Behavioral Health Agency in Fairfield, CA
• Providers in Fairfield, CA by specialty
• Community/Behavioral Health Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2021; 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.