Individual provider Active NPI

Genesis Ibarra, LCSW

  • Clinical Social Worker
  • Upland, CA
National Provider Identifier
1043767353
Registry record updated Jul 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
89977 Issued in CA
Practice address
1100 San Bernardino Rd Ste 1100
Upland, CA 91786-4952
Phone
(626) 218-7536
NPI assigned
Sep 2, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 14, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 89977 CA Primary

Addresses

Primary practice location

1100 San Bernardino Rd Ste 1100
Upland, CA 91786-4952

Mailing address

1100 San Bernardino Rd Ste 1100
Upland, CA 91786-4952

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://www.ucsfbenioffchildrens.org/clinics/adolescent-health-clinic UCSF Benioff Children's Hospital Oakland

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
89977CAMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1472774400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783987200000",
    "number": "1043767353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 SAN BERNARDINO RD STE 1100",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917864952"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 SAN BERNARDINO RD STE 1100",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917864952",
            "telephone_number": "626-218-7536"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IBARRA",
        "first_name": "GENESIS",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-09-02",
        "last_updated": "2026-07-14",
        "certification_date": "2026-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "89977",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://www.ucsfbenioffchildrens.org/clinics/adolescent-health-clinic",
            "affiliation": "Y",
            "affiliationName": "UCSF Benioff Children's Hospital Oakland",
            "address_1": "8711 MacArthur Blvd",
            "city": "Oakland",
            "state": "CA",
            "country_code": "US",
            "postal_code": "946054000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Upland, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.