Individual provider Active NPI

Joanna Ibanez, FNP-C

  • Family Nurse Practitioner
  • Monrovia, CA
National Provider Identifier
1205629755
Registry record updated Aug 31, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95034630 Issued in CA
Practice address
136 E Walnut Ave
Monrovia, CA 91016-3431
Phone
(323) 238-6902
NPI assigned
May 27, 2025
Last updated
Aug 31, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 31, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 95034630 CA Primary

Addresses

Primary practice location

136 E Walnut Ave
Monrovia, CA 91016-3431

Mailing address

301 East Arrow Highway
Ste 101 PMB 1023
San Dimas, CA 91773
Phone (626) 766-5215

Other practice location 1

1196 N Park Ave
Pomona, CA 91768-3027
Phone (909) 623-4050

Other identifiers 1

IdentifierTypeStateIssuer
95034630OtherCAFNP LICENSE

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250710003435 CA Practitioner - Nurse Practitioner 0446764310 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Harbor Wound Care P CGroup PAC ID 0042704504, 29 clinicians
Alpha Wound Solutions PCGroup PAC ID 3375037443, 6 clinicians

Practice addresses (Care Compare)

1424 Hummingbird Way
Banning, CA 92220-7206
Phone (626) 250-4912

275 W Hospitality LN
Suite 310
San Bernardino, CA 92408-3265
Phone (951) 229-8408

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Harbor Wound Care P.C. CurrentSince Oct 13, 2025 Accepting new patients
Empire Wound Care CurrentSince Jun 9, 2025 Accepting new patients
Wound Care Plus, LLC CurrentSince Jul 14, 2025 Accepting new patients
Alpha Wound Solutions P.C. CurrentSince Jan 16, 2026 Accepting new patients

Locations

501 S Beach Blvd
Anaheim, CA 92804
Phone (714) 816-0540

1980 Felicita Rd
Escondido, CA 92025
Phone (750) 741-6109

9440 Citrus Ave
Fontana, CA 92335
Phone (909) 823-3481

136 E Walnut Ave
Monrovia, CA 91016
Phone (323) 803-3284

215 W Pearl St
Pomona, CA 91768
Phone (909) 227-0750

8171 Magnolia Ave
Riverside, CA 92504
Phone (951) 657-3842

1651 Response Rd
Ste 350
Sacramento, CA 95815
Phone (818) 450-1188

275 W Hospitality Ln
Ste 310
San Bernardino, CA 92408
Phone (951) 229-8408

304 N Melrose Dr
Vista, CA 92083
Phone (760) 724-8222

5716 Corsa Ave
Ste 110
Westlake Village, CA 91362
Phone (214) 440-3671

4240 Blue Ridge Blvd
Ste 530
Kansas City, MO 64133
Phone (816) 291-4601

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1748304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788134400000",
    "number": "1205629755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 EAST ARROW HIGHWAY",
            "address_2": "STE 101 PMB 1023",
            "city": "SAN DIMAS",
            "state": "CA",
            "postal_code": "91773",
            "telephone_number": "626-766-5215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "136 E WALNUT AVE",
            "city": "MONROVIA",
            "state": "CA",
            "postal_code": "910163431",
            "telephone_number": "323-238-6902"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1196 N Park Ave",
            "address_purpose": "LOCATION",
            "city": "Pomona",
            "state": "CA",
            "postal_code": "917683027",
            "country_code": "US",
            "telephone_number": "909-623-4050",
            "fax_number": "909-320-5259",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "IBANEZ",
        "first_name": "JOANNA",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-05-27",
        "last_updated": "2026-08-31",
        "certification_date": "2026-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95034630",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FNP LICENSE",
            "identifier": "95034630",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Monrovia, CA

Sources for this page

Verify at the official NPI Registry.