NPIMap

Individual provider Active NPI

Jose Sibal, M.D.

  • Nephrology Physician
  • Chico, CA
National Provider Identifier
1912903758
Registry record updated Apr 17, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
A50617 Issued in CA
Practice address
285 Cohasset Rd
Suite 100
Chico, CA 95926-2243
Phone
(530) 892-2300
Fax
(530) 894-5890
NPI assigned
Jun 27, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X A50617 CA Primary

Addresses

Primary practice location

285 Cohasset Rd
Suite 100
Chico, CA 95926-2243

Mailing address

PO Box 6789
Chico, CA 95927-6789
Phone (530) 892-2300

Other identifiers 2

IdentifierTypeStateIssuer
P00178819OtherMEDICARE RAILROAD #
00A506170MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040414001974 CA Practitioner - Nephrology 0042205684 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nephrology
Education
Other, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Comprehensive Renal Care Group a Medical CorporationGroup PAC ID 7517929862, 2 clinicians

Practice addresses (Care Compare)

1058 Mangrove Ave
Suite 2
Chico, CA 95926-3553
Phone (530) 892-5300

2971 Olive Hwy
Oroville, CA 95966-6109
Phone (530) 868-4141

Hospital & facility affiliations

  • DaVita Chico Dialysis Center Dialysis facility, Chico, CA, CCN 052553
  • DaVita South Chico Dialysis Center Dialysis facility, Chico, CA, CCN 552530
  • Enloe Health Hospital, Chico, CA, CCN 050039
  • Oroville Hospital Hospital, Oroville, CA, CCN 050030
  • Adventist Health Clearlake Hospital, Clearlake, CA, CCN 051317
  • St Elizabeth Community Hospital Hospital, Red Bluff, CA, CCN 050042
  • Glenn Medical Center Hospital, Willows, CA, CCN 051306

Merit-based Incentive Payment System (MIPS)

Final score
43.17 of 100Reported as individual
Quality
30
Improvement activities
0
Cost
70.57

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A50617CAMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Comprehensive Renal Care Group a Medical Corporation Nephrology CurrentSince Oct 1, 2004 Accepting new patients
Comprehensive Renal Care, PC Nephrology Past Accepting new patients
Enloe Medical Center Past Accepting new patients
Feather River Hospital Past Accepting new patients

Locations

1058 Mangrove Ave
Ste 2
Chico, CA 95926
Phone (530) 892-5300

285 Cohasset Rd
Ste 100
Chico, CA 95926
Phone (530) 892-2300

530 Cohasset Rd
Ste 9
Chico, CA 95926
Phone (530) 892-2300

530 Cohasset Rd
#9
Chico, CA 95926
Phone (530) 892-2300

2971 Olive Hwy
Oroville, CA 95966
Phone (530) 534-6300

Interoperability endpoints

  • Direct secure messaging: jsibal15443@enloedirect.org

Organizations & group practices 4

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.

Hospital & facility affiliations 9

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1119830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1239926400000",
    "number": "1912903758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6789",
            "city": "CHICO",
            "state": "CA",
            "postal_code": "959276789",
            "telephone_number": "530-892-2300",
            "fax_number": "530-894-5890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "285 COHASSET RD",
            "address_2": "SUITE 100",
            "city": "CHICO",
            "state": "CA",
            "postal_code": "959262243",
            "telephone_number": "530-892-2300",
            "fax_number": "530-894-5890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIBAL",
        "first_name": "JOSE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-27",
        "last_updated": "2009-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "CA",
            "license": "A50617",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD #",
            "identifier": "P00178819",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A506170",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chico, CA

Sources for this page

Verify at the official NPI Registry.