Faviola Ibarra, M.S, CF-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

17032 Issued in CA

Practice address

4156 24TH St
San Francisco, CA 94114-3615

Phone

(415) 226-7049

NPI assigned

Aug 22, 2022

Sex

Female

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

Credentials

Master of Science

State licenses

Practice roles

Locations

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.

• Logopedia Speech & Language Therapy, Inc.

  • Speech-Language Pathologist
  • San Francisco, CA
  • NPI 1235691775
  NPD

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

{
    "created_epoch": "1661126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661126400000",
    "number": "1225757511",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 GREENWOOD LN",
            "city": "REDWOOD CITY",
            "state": "CA",
            "postal_code": "940632921"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4156 24TH ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941143615",
            "telephone_number": "415-226-7049"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IBARRA",
        "first_name": "FAVIOLA",
        "credential": "M.S, CF-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-22",
        "last_updated": "2022-08-22",
        "certification_date": "2022-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "17032",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Salvatore D. Iaquinta, MD
• Iatrion Inc.
• Pamela Ibanez, PA-C
• Lyra Vanessa Floresca Ibarra-Samson, RN
• Dennice Ibarra
• Jazmin Ibarra
• Juan G Ibarra
• Karen Ibarra, MD
• Kimberly Yesenia Ibarra
• Laura Beatriz Ibarra

• Speech-Language Pathologist in San Francisco, CA
• Providers in San Francisco, CA by specialty
• Speech-Language Pathologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2022; 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.