Emmanuel Santos Sibal, LVN

Primary specialty

Licensed Vocational NurseTaxonomy code 164X00000X

License

VN 197613 Issued in CA

Practice address

200 Hillmont Ave
Ventura, CA 93003-1647

Phone

(805) 652-6729

NPI assigned

Nov 15, 2008

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

State licenses

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

{
    "created_epoch": "1226707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1226707200000",
    "number": "1982858056",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 HILLMONT AVE",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930031647",
            "telephone_number": "805-652-6729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 HILLMONT AVE",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930031647",
            "telephone_number": "805-652-6729"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIBAL",
        "first_name": "EMMANUEL",
        "middle_name": "SANTOS",
        "credential": "LVN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-11-15",
        "last_updated": "2008-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164X00000X",
            "taxonomy_group": "",
            "desc": "Licensed Vocational Nurse",
            "state": "CA",
            "license": "VN 197613",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shih-Yu Steven Shu, MS-PPS
• Demi Shugrue
• Shyam Krishnan DDS a Professional Dental Organization
• Shyam M Krishnan DDS Inc
• Hessam S Siavash, DDS, MD
• Christopher Charles Siciliano, PSY.D.
• Hanita Sidana, D.M.D.
• Velvet Lefaye Siddell
• Melanie M. Sierra, CADC II-CS
• Tammy Pei-Hsin Cheng Sievers, MD

• Licensed Vocational Nurse in Ventura, CA
• Providers in Ventura, CA by specialty
• Licensed Vocational Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2008; 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.