Individual provider · Type 1 NPI

Rian Sage Tibbetts

Student in an Organized Health Care Education/Training Program · Brea, CA

NPI number 1043178262 Active

Practice location

3 Pointe Dr Ste 305
Brea, CA 92821-7604

Mailing address

37662 Spruce Ct # 294
Angelus Oaks, CA 92305-9541

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1043178262

Rian Sage Tibbetts's National Provider Identifier is 1043178262, issued on Jan 15, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Brea, CA. The record was last updated on Jan 15, 2026.