DR. JOHN PARSONS HIBBARD (NPI# 1649361668) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649361668 |
| Entity Type | Individual |
| Full Name | DR. JOHN PARSONS HIBBARD |
| Credential | M.D. |
| Practice Address |
1901 Cleveland Ave Santa Rosa CA 95401-4282 |
| Mailing Address |
629 Monroe St Santa Rosa CA 95404-3927 |
| Practice Telephone | 7075760818 |
| Practice Fax Number | 7075767845 |
| Mailing Telephone | 8007090293 |
| Mailing Fax Number | 7075767845 |
| Enumeration Date | 2006-09-27 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RA0401X |
Internal Medicine Specialization: Addiction Medicine |
G37140 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
1901 CLEVELAND AVE |
| City | SANTA ROSA |
| State | CA |
| Zip Code | 95401-4282 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033689765 | Alexander Cory French | Counselor | 1901 Cleveland Ave, Santa Rosa, CA 95401-4282 | 2018-11-26 |
| 1477003515 | George Flores | Counselor | 1901 Cleveland Ave, Suite B, Santa Rosa, CA 95401-4282 | 2016-10-13 |
| 1780030858 | Robin Anne Petersen | Counselor | 1901 Cleveland Ave, Santa Rosa, CA 95401-4282 | 2016-05-09 |
| 1427438027 | Bonnie Jeanne Hatt | Physician Assistant | 1901 Cleveland Ave, Santa Rosa, CA 95401-4282 | 2015-06-09 |
| 1417352659 | Jesse T Collins | Counselor | 1901 Cleveland Ave, Suite B, Santa Rosa, CA 95401-4282 | 2014-10-30 |
| 1205230992 | Anthony Garcia | Counselor | 1901 Cleveland Ave, Suite 9, Santa Rosa, CA 95401-4282 | 2014-10-09 |
| 1073938098 | Suboxone Treatment and Counseling Services | Case Management | 1901 Cleveland Ave, Suite 9, Santa Rosa, CA 95401-4282 | 2014-02-27 |
| 1285977405 | Kelli Kathleen Jones | Licensed Vocational Nurse | 1901 Cleveland Ave, Suite B, Santa Rosa, CA 95401-4282 | 2013-04-05 |
| 1679827125 | Linda Reed | Registered Nurse | 1901 Cleveland Ave, Suite B, Santa Rosa, CA 95401-4282 | 2012-11-06 |
| 1851644371 | Amanda Johanna Menary | Licensed Psychiatric Technician | 1901 Cleveland Ave, Santa Rosa, CA 95401-4282 | 2012-10-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972148575 | Megan Elizabeth Jones | In Home Supportive Care | 1239 Eardley Ave, Santa Rosa, CA 95401 | 2019-11-07 |
| 1801447230 | Patty Macisaac | Technician | 3221 Oak Farm Lane, Santa Rosa, CA 95401 | 2019-09-26 |
| 1386114981 | Victoria Maria Guillory | Dental Hygienist | 140 Stony Point Road, Suite A, Santa Rosa, CA 95401 | 2018-11-27 |
| 1811470727 | Chemarin Eve Boyd | Student in an Organized Health Care Education/Training Program | 1260 N Dutton Avenue, 225, Santa Rosa, CA 95401 | 2018-09-07 |
| 1073008181 | Cristavel Camacho | Behavioral Analyst | 1439 Range Ave, #101, Santa Rosa, CA 95401 | 2018-06-30 |
| 1619479102 | Victoria King | Behavior Technician | 1335 N. Dutton Ave., Santa Rosa, CA 95401 | 2018-03-01 |
| 1114436060 | Lacey Lynn Palmer | Counselor | 341 Irwin Lane, Santa Rosa, CA 95401 | 2017-09-22 |
| 1720530587 | Compassionate Homecare Solutions, LLC | In Home Supportive Care | 131 A Stony Circle, Suite 500, Santa Rosa, CA 95401 | 2016-10-27 |
| 1366998981 | William Glenn | Marriage & Family Therapist | 1496 Willowside Road, Santa Rosa, CA 95401 | 2016-09-01 |
| 1790144046 | Advocacy Home Nursing, Inc | Home Health | 1400 North Dutton Avenue, Suite 20, Santa Rosa, CA 95401 | 2016-02-15 |
| Find all providers in zip 95401 | ||||
| Taxonomy Code | 207RA0401X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Addiction Medicine |
| An internist doctor of osteopathy that specializes in the treatment of addiction disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Added Qualifications in the field of Addiction Medicine. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
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| 1902458540 | Medicus Telehealth Inc. | Internal Medicine | 180 N Rexford Dr, Beverly Hills, CA 90210-5406 | 2019-07-13 |
| 1962978114 | Samer Moghaddam Md, Apc | Internal Medicine | 902 N Grand Ave Ste 201, Santa Ana, CA 92701-4218 | 2018-10-15 |
| 1972009785 | William Supplee | Internal Medicine | 151 Calderon Ave Apt 96, Mountain View, CA 94041-1433 | 2018-04-02 |
| 1245767516 | Chemical Dependency Treatment Associates, Inc | Internal Medicine | 455 University Ave Ste 320, Sacramento, CA 95825-6580 | 2017-05-17 |
| 1568917367 | Mjc Hospitalist Group, Inc. | Internal Medicine | 4615 Lemona Ave, Sherman Oaks, CA 91403-2428 | 2016-08-22 |
| 1073962171 | Faried Banimahd Md Inc | Internal Medicine | 1533 E 4th St Ste 4, Santa Ana, CA 92701-5115 | 2016-06-09 |
| 1467827683 | 360 Recovery Inc | Internal Medicine | 23986 Aliso Creek Rd Ste 226, Laguna Niguel, CA 92677-3908 | 2015-12-14 |
| 1841665254 | Kpg California, LLC | Internal Medicine | 9000 W Sunset Blvd Ste 1500, West Hollywood, CA 90069-5815 | 2015-12-10 |
| 1780050278 | Craig V. Smith, M.d., A Professional Medical Corporation | Internal Medicine | 6711 Melrose Ave., Los Angeles, CA 90038 | 2015-08-19 |
| 1730561861 | Synergy Lifestyle Center, Inc. | Internal Medicine | 7910 Downing Ave Ste 200, Bakersfield, CA 93308-5016 | 2015-06-25 |
| Find all providers with the same taxonomy | ||||
| City | SANTA ROSA |
| Zip Code | 95401 |
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| 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.