MEDICARE: DR. JOHN BIBB M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207P00000X	Emergency Medicine Physician	G21778	CA
2	207PE0004X	Emergency Medical Services (Emergency Medicine) Physician	G21778	CA

General Provider Information

NPI Number	:	1528052495
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JOHN BIBB M.D.

Provider Business Mailing Address
First Line	:	16449 AKRON ST
Second Line	:
City	:	PACIFIC PALISADES
State	:	CA
Zip	:	90272-2304
Country	:	US
Telephone Number	:	310-459-3764
Fax Number	:

Provider Business Practice Location Address
First Line	:	16449 AKRON ST
Second Line	:
City	:	PACIFIC PALISADES
State	:	CA
Zip	:	90272-2304
Country	:	US
Telephone Number	:	310-459-3764
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/07/2005
Last Update Date	:	12/11/2013

Similar Medicare Providers

1174494397 — YOONJU CHO
Practice Location Address:

472 7TH ST FL 2
PALISADES PARK, NJ
07650-2304

Practice Phone: 201-207-7596
Practice Fax:

1548266901 — DR. ANDREA SHAKARIAN D.C.
Practice Location Address:

17383 W SUNSET BLVD , SUITE A230
PACIFIC PALISADES, CA
90272-4181

Practice Phone: 310-230-2145
Practice Fax:

1710983390 — DR. FRANCINE KIRKPATRICK PH.D.
Practice Location Address:

16050 ANOKA DR
PACIFIC PALISADES, CA
90272-2410

Practice Phone: 310-454-7053
Practice Fax:

1649279795 — MR. THOMAS HARRISON PRICE RPH
Practice Location Address:

881 ALMA REAL DR
PACIFIC PALISADES, CA
90272-5015

Practice Phone: 310-454-6505
Practice Fax:

1710987433 — GORDON WONG
Practice Location Address:

16630 MARQUEZ AVE
PACIFIC PALISADES, CA
90272-3233

Practice Phone: 310-454-6000
Practice Fax: 310-454-0605

1760467286 — LORI MUSTO D.O.
Practice Location Address:

881 ALMA REAL DR , STE 110
PACIFIC PALISADES, CA
90272-3731

Practice Phone: 310-454-1212
Practice Fax: 310-454-2185

Directions to “ DR. JOHN BIBB M.D.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.