IndividualActive
Jack Sibal, PA-C
NPI 1962482042 · Physician Assistant · Central Point, OR
Provider details
- NPI number
- 1962482042
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Male
- Sole proprietor
- No
- License
- 14456 (CA)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
Detailed profile(95/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
4940 Hamrick Rd
Central Point, OR 97502-3072
Phone: (541) 690-3600
Fax: (541) 664-3735
Street-level locationGet directions
Mailing address
3617 S Pacific Hwy
Medford, OR 97501-8957
Additional practice locations (1)
- 1001 S. Seaside Ave; Bldg 23Isc San PedroSan Pedro, CA 90731Phone: (310) 732-7500Fax: (310) 732-7519
Registry dates
- Enumerated
- 2006-01-17
- Last updated
- 2018-03-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.