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DR. FREDERICK JOE MCKIBBEN M.D. NPI 1649294596


NPI Information

NPI: 1649294596
Provider Name: DR. FREDERICK JOE MCKIBBEN, M.D.
Classification: Anesthesiology - 207L00000X
Entity Type: Individual

PECOS Registration: Yes

Address:
100 W CALIFORNIA BLVD
PASADENA, CA
ZIP 91105
Phone: (626) 397-5000
Get Directions

DR. Frederick Joe Mckibben, M.D. is an anesthesiology in Pasadena, CA. The provider is an anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery. DR. Frederick Joe Mckibben, M.D. NPI is 1649294596. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

100 W CALIFORNIA BLVD
PASADENA, CA
ZIP 91105-010
Phone: (626) 397-5000
Fax: (626) 397-2912

The NPI 1649294596 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Power Mobility Devices.

The enumeration date for this NPI number is 7/26/2006 and was last updated on 11/22/2010.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207L00000XAnesthesiologyG55973CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1B57989MEDICARE UPIN
2W18933MEDICARE ID-TYPE UNSPECIFIEDCALIFORNIA
300G559730MEDICAIDCALIFORNIA
400G559730OTHERCALIFORNIABLUE SHIELD

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.