ELIZABETH SIBRACK


Address: 1425 S Main St, Walnut Creek, CA 94596
Phone: 9252954000

ELIZABETH SIBRACK (NPI# 1538556873) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1538556873
Entity Type Individual
Full Name ELIZABETH SIBRACK
Credential M.D.
Practice Address 1425 S Main St
Walnut Creek
CA 94596
Mailing Address 1425 S Main St
Walnut Creek
CA 94596-5318
Practice Telephone 9252954000
Enumeration Date 2015-04-24
Last Update Date 2019-07-01
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 207R00000X Internal Medicine 161368 CA Allopathic & Osteopathic Physicians
Y 208000000X Pediatrics 161368 CA Allopathic & Osteopathic Physicians

Provider Secondary Practice Location

Address Telephone Number Fax Number
Unc Med Peds Residency Program, 230 Macnider, Cb #7593, Chapel Hill, NC 275997593 9199666770 9199668419

Office Location

Street Address 1425 S MAIN ST
City WALNUT CREEK
State CA
Zip Code 94596

Providers in the same location

NPI Name Taxonomy Address Enumeration
1356342638 Ingrid Wendy Fernandes Internal Medicine 1425 S Main St, Walnut Creek, CA 94596-5318 2005-08-09
1982221297 Michelle Nhumai Huynh Pharmacist 1425 S Main St, Walnut Creek, CA 94596-5318 2020-07-02
1144869322 Darrell James David Registered Nurse 1425 S Main St, Walnut Creek, CA 94596-5318 2020-01-05
1306484530 Kayla Galanter Pharmacist 1425 S Main St, Walnut Creek, CA 94596-5318 2019-12-18
1184260804 Carol Jean Mcmenamy Social Worker 1425 S Main St, Walnut Creek, CA 94596-5318 2019-11-18
1871138990 Gloria Yatmen Lai Registered Nurse 1425 S Main St, Walnut Creek, CA 94596-5318 2019-11-12
1851945901 Zsanell Go Physical Therapist 1425 S Main St, Walnut Creek, CA 94596-5318 2019-07-26
1043776453 Bridget Rochios Registered Nurse 1425 S Main St, Walnut Creek, CA 94596-5318 2019-02-11
1518423920 Britnie Lee Milam Respiratory Therapist, Registered 1425 S Main St, Walnut Creek, CA 94596-5318 2019-02-11
1326503244 Megan R Moore Respiratory Therapist, Registered 1425 S Main St, Walnut Creek, CA 94596-5318 2019-02-05
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1467917229 Alison M Khaddour Behavior Technician 800 S Broadway Ste. 310, Walnut Creek, CA 94596 2019-02-06
1134683618 Ian Colas Respiratory Therapist, Certified 1425 South Main Street, Walnut Creek, Walnut Creek, CA 94596 2019-01-29
1912474131 Albert Dizon Miraflores Behavior Technician 1910 Olympic Blvd Walnut Creek Ca 94596, Walnut Creek, CA 94596 2018-10-25
1487136834 Daryn Stier Social Worker 80 Norlyn Drive, Walnut Creek, CA 94596 2018-09-02
1831682335 Jessica Lim Registered Nurse 1357 Oakland Blvd, Walnut Creek, CA 94596 2018-06-08
1699278432 Alanna Everhart Behavior Technician 877 Ygnacio Valley Road, Suite 100, Walnut Creek, CA 94596 2018-03-16
1962958108 Derek Jue Md Clinic/Center 1812 San Miguel Drive, Walnut Creek, CA 94596 2016-08-28
1912369711 Pamela Jean Lister Marriage & Family Therapist 2070 N Broadway, #5370, Walnut Creek, CA 94596 2016-03-22
1548635147 Anne Lamoreaux Anderson Behavioral Analyst 800 South Broadway Suite #310, Walnut Creek, CA 94596 2015-12-08
1346619434 Christine Anne Gotelli Registered Nurse 370 N. Civic Drive #311, San Francico, CA 94596 2015-09-18
Find all providers in zip 94596

Taxonomy Information

Taxonomy Code 208000000X
Grouping Allopathic & Osteopathic Physicians
Classification Pediatrics

Taxonomy Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio
- Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1013271162 Marc S Usatin Pediatrics 440 Bridge Rd, Walnut Creek, CA 94595-1325 2012-07-03
1801117866 Rajroop Bhullar Pediatrics 1776 Ygnacio Valley Rd Ste 100, Walnut Creek, CA 94598 2010-06-14
1003087206 Bradley William Zerweck Pediatrics Jmmc 3-east, 1601 Ygnacio Valley Road, Walnut Creek, CA 94598 2008-03-14
1942219928 Montgomery Lawton Kong Pediatrics 1822 San Miguel Dr, Walnut Creek, CA 94596 2006-08-07
1407887243 Hilary Ann Perr Pediatrics 2123 Ygnacio Valley Rd Ste K100, Walnut Creek, CA 94598-3334 2006-07-06
1942231618 Casa Verde Pediatrics, Inc Pediatrics 301 Lennon Ln Ste 203, Walnut Creek, CA 94598-2483 2006-07-05
1336177336 Toby Lustig Pediatrics 1822 San Miguel Drive, Walnut Creek, CA 94596 2006-06-29
1073573952 Michael Zwerdling Pediatrics 590 Ygnacio Valley Rd, Suite 160, Walnut Creek, CA 94596-3889 2006-03-24
1114996618 S. Ming Man Chang Pediatrics 1816 San Miguel Dr, Walnut Creek, CA 94596-8606 2006-03-16
1639173545 Lisa M Asta Pediatrics 301 Lennon Ln, Ste 203, Walnut Creek, CA 94598-2483 2005-06-08
Find all providers in WALNUT CREEK

Competitor

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City WALNUT CREEK
Zip Code 94596

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Dataset Information

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.

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