Individual
MR. CARLETON THOMAS NIBLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2700 GRANT ST, SUITE 319, CONCORD, CA 94520-2266
(925) 674-2880
(925) 674-2883
Mailing address
DEPT 34929, P.O. BOX 39000, SAN FRANCISCO, CA 94139-0001
(925) 952-2828
(925) 952-2850
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
G81444
CA
207RC0001X
Clinical Cardiac Electrophysiology Physician
Primary
G81444
CA
Other
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
—
Enumeration date
09/20/2006
Last updated
08/30/2016
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