Casey Quinn L Ibarra, LVN

Primary specialty

Licensed Vocational NurseTaxonomy code 164X00000X

License

VN702445 Issued in CA

Practice address

950 W Julian St
San Jose, CA 95126-2719

Phone

(408) 292-9353

NPI assigned

Dec 10, 2019

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1575936000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1575936000000",
    "number": "1154968188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32364 PAYNE ST",
            "city": "HAYWARD",
            "state": "CA",
            "postal_code": "945448166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "950 W JULIAN ST",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951262719",
            "telephone_number": "408-292-9353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IBARRA",
        "first_name": "CASEY QUINN",
        "middle_name": "L",
        "credential": "LVN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-12-10",
        "last_updated": "2019-12-10",
        "certification_date": "2019-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164X00000X",
            "taxonomy_group": "",
            "desc": "Licensed Vocational Nurse",
            "state": "CA",
            "license": "VN702445",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Ibanez
• Jose Juan Ibanez
• Karina Ibarez
• Luna Ibarra Alvarez
• Sylvia B Ibarra Castillo
• Eduardo Ibarra
• Heliana Albarez Ibarra
• Maria Ibarra, REGISTERED DIETITIAN
• Maria G Ibarra
• Michelle Ibarra

• Licensed Vocational Nurse in San Jose, CA
• Providers in San Jose, CA by specialty
• Licensed Vocational Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2019; 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.