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CHARLES NIBA
NPI 1073965612
Counselor - Mental Health in Belmont, CA

Active since July 07, 2016PECOS Enrolled
300 HARBOR BLVD, BELMONT, CA 94002(650) 817-9070(650) 246-3838 Get Directions Write a Review

NPPES record last updated: July 7, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Charles Niba NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CHARLES NIBA (NPI 1073965612) is an individual mental health provider in Belmont, California and active in the NPI registry since July 2016. He is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1073965612
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameCHARLES NIBA
Location Address300 HARBOR BLVDBelmont, CA 94002-4018
Mailing Address300 Harbor BlvdBelmont, CA 94002-4018 · (650) 817-9070 · Fax (650) 246-3838
Phone(650) 817-9070
Fax(650) 246-3838
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateJuly 7, 2016
✔ NPI 1073965612 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
300 HARBOR BLVD, Belmont, CA 94002
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Charles Niba is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7618445180
PECOS Enrollment IDI20260504006925
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CONSUELA BOLANOS
Licensed Vocational Nurse
300 HARBOR BLVD
BELMONT, CA 94002
San Mateo County (650) 817-9070
ADAM YECIES
Counselor (Mental Health)
300 HARBOR BLVD
BELMONT, CA 94002
San Mateo County (650) 817-9070
MRS. JOY ELE-CALABRO CATC
Community Health Worker
300 HARBOR BLVD
BELMONT, CA 94002
San Mateo County (650) 380-6149
DAVID MOLANO SR.
Community Health Worker
300 HARBOR BLVD
BELMONT, CA 94002
San Mateo County (650) 817-9070
ERIC JOHNSON
Counselor (Mental Health)
300 HARBOR BLVD
BELMONT, CA 94002
San Mateo County (650) 817-9070
VINCENT S. PEREZ MD
Psychiatry & Neurology (Psychiatry)
300 HARBOR BLVD
BELMONT, CA 94002
San Mateo County (650) 817-9070
STEPHANIE PAQUIN LMFT
Marriage & Family Therapist
300 HARBOR BLVD
BELMONT, CA 94002
San Mateo County (650) 817-9070
PRINCESS PEREZ NEBERBA LVN
Licensed Vocational Nurse
300 HARBOR BLVD
BELMONT, CA 94002
San Mateo County (650) 817-9070

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Charles Niba's NPI number?

The NPI number for Charles Niba is 1073965612. It was assigned to this individual provider in the NPPES registry on July 7, 2016.

Where is Charles Niba located?

Charles Niba practices at 300 Harbor Blvd, Belmont, CA 94002. The listed phone number is (650) 817-9070.

What is Charles Niba's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Charles Niba enrolled in Medicare?

Yes. Charles Niba is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Charles Niba was last updated on July 7, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.