Active NPI
Joseph Andrew Ibarra, O.D.
- Optometrist
- La Puente, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 33578
- Practice address
- 15330 Amar Rd Ste a
La Puente, CA 91744-2001 - Phone
- (626) 961-0432
- NPI assigned
- Aug 24, 2016
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 33578 | CA | Primary |
Addresses
Primary practice location
15330 Amar Rd Ste a
La Puente, CA 91744-2001
Mailing address
2154 Saticoy St
Pomona, CA 91767-2411
Phone (626) 421-8153
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: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4560 E Cesar E Chavez Ave
Los Angeles, CA 90022-1168
Phone (323) 980-9900
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dr Hernandez Optometry Inc | Optometrist | Current | Accepting new patients |
| Edward P. & Diane M. Hernandez | Optometrist | Current | Accepting new patients |
| DRS. Edward P. and Diane M. Hernandez, O.D. | Optometrist | Current | Accepting new patients |
| Paul T Urrea M D M P H Inc | Optometrist | Current | Accepting new patients |
Locations
6134 Pacific Blvd
Huntington Park, CA 90255
Phone (323) 589-3381
15330 Amar Rd
Ste A
La Puente, CA 91744
Phone (626) 961-0432
4560 E Cesar E Chavez Ave
Los Angeles, CA 90022
Phone (323) 269-0411
900 S Atlantic Blvd
Monterey Park, CA 91754
Phone (626) 457-7450
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
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.
-
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- Los Angeles, CA
- NPI 1619074838
Optometrist
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- NPI 1568671774
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- Optometrist
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- NPI 1164604658
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- Optometrist
- Duarte, CA
- NPI 1619186848
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1471996800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1471996800000",
"number": "1235684879",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2154 SATICOY ST",
"city": "POMONA",
"state": "CA",
"postal_code": "917672411",
"telephone_number": "626-421-8153"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15330 AMAR RD STE A",
"city": "LA PUENTE",
"state": "CA",
"postal_code": "917442001",
"telephone_number": "626-961-0432"
}
],
"practiceLocations": [],
"basic": {
"last_name": "IBARRA",
"first_name": "JOSEPH",
"middle_name": "ANDREW",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-08-24",
"last_updated": "2016-08-24",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "CA",
"license": "33578",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in La Puente, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.