# MR. CARLETON THOMAS NIBLEY

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1508963489
- **Gender:** Man
- **Credential:** M.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RC0000X | Cardiovascular Disease Physician | G81444 | CA | — |
| 207RC0001X | Clinical Cardiac Electrophysiology Physician | G81444 | CA | Yes |

## Other

- **Enumeration date:** 09/20/2006
- **Last updated:** 08/30/2016

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 035185 | HILL PHYSICIANS PROV NUM | CA |
| 01 | — | DB0077 | RAILROAD MC GRP NUMBER | CA |
| 05 | — | G81444 | — | CA |
| 05 | — | GR0098120 | — | CA |
| 01 | — | P00082303 | RAILROAD MEDICARE | CA |
| 01 | — | P01312627 | RAILROAD MEDICARE (JMH) | CA |
| 01 | — | ZZZ07991Z | BLUE SHIELD GROUP NUMBER | CA |
| 01 | — | ZZZ27532Z | MEDICARE GROUP NUMBER | — |