SIBLE REBELLO (NPI# 1174030506) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174030506 |
| Entity Type | Individual |
| Full Name | SIBLE REBELLO |
| Practice Address |
3660 Park Sierra Dr Ste 208 Riverside CA 92505-3071 |
| Mailing Address |
3660 Park Sierra Dr Ste 203 Riverside CA 92505-3071 |
| Practice Telephone | 9516873400 |
| Mailing Telephone | 9516873400 |
| Mailing Fax Number | 9516877630 |
| Enumeration Date | 2018-01-08 |
| Last Update Date | 2019-12-11 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 95007845 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
NP95007845 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
3660 PARK SIERRA DR STE 208 |
| City | RIVERSIDE |
| State | CA |
| Zip Code | 92505-3071 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205458460 | Mark Anthony Vargas | Behavioral Analyst | 94193 Flat Rock Dr Ste 220, Riverside, CA 92505 | 2020-05-11 |
| 1568099976 | Victoria Lee | Student in an Organized Health Care Education/Training Program | Riverside Family Medicine Residency, 10800 Magnolia Avenue, Riverside, CA 92505 | 2020-03-25 |
| 1588222087 | A Homecare Services, Inc | In Home Supportive Care | 4193 Flat Rock Road, Building 200 Suite 206, Riverside, CA 92505 | 2019-05-31 |
| 1609302397 | Tap Pharmacy, Inc. | Pharmacy | 4270 Riverwalk Pkwy Ste 102, Riverside, CA 92505 | 2017-05-02 |
| 1467998658 | Onofre Gascon | Behavior Technician | 11711 Collett Ave, #1614, Riverside, CA 92505 | 2017-01-11 |
| 1780038505 | Nash David Martinez | Emergency Medicine | 10800 Magnolia Ave Dept of Emergency Medicine, Kaiser Permanente Hospital, Riverside, CA 92505 | 2016-04-18 |
| 1447639901 | Jose Joel Manalese Dds Inc | Dentist | 3950 Pierce St., Suite L., Riverside, CA 92505 | 2015-05-29 |
| 1821493230 | Jean Huynh | Physician Assistant | 11725 State Ave., Suite 100, Riverside, CA 92505 | 2014-10-28 |
| 1003160649 | Elaf Farahat | Dietitian, Registered | 10800 Magnolia Avenue., Riverside, CA 92505 | 2012-11-05 |
| 1730458217 | Tammy Lynn Gilmore | Non-emergency Medical Transport (VAN) | 10770 Hole Avenue, 106, Riverside, CA 92505 | 2011-12-29 |
| Find all providers in zip 92505 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689214074 | Aizzel Ramas Trieu | Nurse Practitioner | 3524 Jackfrost Ct, Riverside, CA 92503-4500 | 2020-01-13 |
| 1518504059 | Ragi Sadek | Nurse Practitioner | 12378 Jacaranda Way, Riverside, CA 92503-7048 | 2019-12-03 |
| 1710522255 | Patricia Denise Dupree | Nurse Practitioner | 14200 Meridian Pkwy # 101, Riverside, CA 92518-3044 | 2019-11-07 |
| 1750932141 | Huynh Ngoc Tu Nguyen | Nurse Practitioner | 9041 Magnolia Ave Ste 302, Riverside, CA 92503-3957 | 2019-09-26 |
| 1922519651 | Veronica Ann Pablo Miller | Nurse Practitioner | 8990 Garfield St Ste 8, Riverside, CA 92503-3922 | 2017-10-20 |
| 1497041453 | Bethany Marie Goldberg | Nurse Practitioner | 38 Amaral Street, Riverside, RI 02915 | 2011-06-28 |
| 1770884462 | Kristin F. Cadieux | Nurse Practitioner | 375 Wampanoag Trl Ste 102, Riverside, RI 02915 | 2010-11-11 |
| 1336463652 | Emily Angelica Agito Dela Rosa | Nurse Practitioner | 4361 Latham St Ste 270, Riverside, CA 92501-4332 | 2010-03-15 |
| 1497969562 | Candy Nordahl | Nurse Practitioner | 4440 Brockton Ave Ste 200, Riverside, CA 92501-4026 | 2007-05-09 |
| 1689778755 | Kathleen Frances Comer | Nurse Practitioner | 5549 Van Buren Blvd, Riverside, CA 92503-2068 | 2006-09-11 |
| Find all providers in RIVERSIDE | ||||
Please comment or provide details below to improve the information on SIBLE REBELLO.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.