Individual provider Active NPI

Fernando Ibarra, MD

  • Gastroenterology Physician
  • Monterey Park, CA
National Provider Identifier
1013082726
Registry record updated May 1, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
A38493 Issued in CA
Practice address
850 S Atlantic Blvd
Suite # 101
Monterey Park, CA 91754-4730
Phone
(626) 284-1350
Fax
(626) 284-2454
NPI assigned
Nov 21, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 1, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X A38493 CA Primary

Addresses

Primary practice location

850 S Atlantic Blvd
Suite # 101
Monterey Park, CA 91754-4730

Mailing address

850 S Atlantic Blvd
Suite # 101
Monterey Park, CA 91754-4730
Phone (626) 284-1350

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150409001583 CA Practitioner - GastroenterologyPractitioner - Internal Medicine 9739148214 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
GastroenterologyAlso: Internal Medicine
Education
Other, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fernando Ibarra MD IncGroup PAC ID 3779664453, 3 clinicians
Gastroenterology Medical of Los Angeles IncGroup PAC ID 3678891306, 2 clinicians

Practice addresses (Care Compare)

309 W Beverly Blvd
Montebello, CA 90640-4308
Phone (626) 284-1350

3400 E Florence Ave
Suite a
Huntington Park, CA 90255-5835
Phone (626) 284-1350

850 S Atlantic Blvd
Monterey Park, CA 91754-4716
Phone (626) 284-1350

850 S Atlantic Blvd
Suite 101
Monterey Park, CA 91754-6700
Phone (626) 284-1350

900 S Atlantic Blvd
Monterey Park, CA 91754-4716
Phone (626) 284-1350

Hospital & facility affiliations

  • Adventist Health White Memorial Hospital, Los Angeles, CA, CCN 050103
  • Monterey Park Hospital Hospital, Monterey Park, CA, CCN 050736

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy758
Upper gastrointestinal (GI) endoscopy for acid reflux622

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Fernando Ibarra M D Inc Gastroenterology CurrentSince Sep 12, 2007 Accepting new patients
Gastroenterology Medical of Los Angeles Inc Gastroenterology CurrentSince Jan 13, 2015 Accepting new patients
Dignity Health Past Accepting new patients
Gastroenterology Diagnostic Center Medical Group, a Professional Gastroenterology PastSince Oct 8, 1990 Accepting new patients
Eladh, LP Past Accepting new patients
Ahmc Monterey Park Hospital LP Past Accepting new patients
White Memorial Medical Center Past Accepting new patients
Ahmc Garfield Medical Center LP Past Accepting new patients
Pih Health Good Samaritan Hospital Past Accepting new patients
Ahmc San Gabriel Valley Medical Past Accepting new patients
Northeast Hospital Corporation Past Accepting new patients
Dignity Community Care Past Accepting new patients
Zelman Weingarten MD Inc Gastroenterology Past Accepting new patients

Locations

3400 E Florence Ave
#A
Huntington Park, CA 90255
Phone (323) 588-5157

1828 E Cesar E Chavez Ave
Ste 6200
Los Angeles, CA 90033
Phone (213) 328-0819

101 E Beverly Blvd
Ste 203
Montebello, CA 90640
Phone (323) 490-7365

101 E Beverly Blvd
Ste 401
Montebello, CA 90640
Phone (323) 722-2260

309 W Beverly Blvd
Montebello, CA 90640
Phone (323) 725-4209

880 S Atlantic Blvd
Ste G10
Monterey Park, CA 91754
Phone (626) 284-1736

850 S Atlantic Blvd
Monterey Park, CA 91754
Phone (626) 289-2894

850 S Atlantic Blvd
Ste 101
Monterey Park, CA 91754
Phone (626) 281-6200

1701 Santa Anita Ave
South El Monte, CA 91733
Phone (626) 350-7916

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 13

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

View all 13

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1164067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1556668800000",
    "number": "1013082726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "850 S ATLANTIC BLVD",
            "address_2": "SUITE # 101",
            "city": "MONTEREY PARK",
            "state": "CA",
            "postal_code": "917544730",
            "telephone_number": "626-284-1350",
            "fax_number": "626-284-2454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "850 S ATLANTIC BLVD",
            "address_2": "SUITE # 101",
            "city": "MONTEREY PARK",
            "state": "CA",
            "postal_code": "917544730",
            "telephone_number": "626-284-1350",
            "fax_number": "626-284-2454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IBARRA",
        "first_name": "FERNANDO",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-21",
        "last_updated": "2019-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "CA",
            "license": "A38493",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monterey Park, CA

Sources for this page

Verify at the official NPI Registry.