Ivan Enzo Cabrera, B.S.

Primary specialty

Rehabilitation PractitionerTaxonomy code 225400000X

Practice address

18246 Bathurst St
Porter Ranch, CA 91326-2023

Phone

(818) 614-4150

NPI assigned

Jan 14, 2009

Sex

Male

Sole proprietor

Yes

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

Bachelor of Science

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

{
    "created_epoch": "1231891200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1234137600000",
    "number": "1306083241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18246 BATHURST ST",
            "city": "PORTER RANCH",
            "state": "CA",
            "postal_code": "913262023",
            "telephone_number": "818-614-4150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18246 BATHURST ST",
            "city": "PORTER RANCH",
            "state": "CA",
            "postal_code": "913262023",
            "telephone_number": "818-614-4150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CABRERA",
        "first_name": "IVAN",
        "middle_name": "ENZO",
        "name_prefix": "Mr.",
        "credential": "B.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-01-14",
        "last_updated": "2009-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225400000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Anne Boyke, D.C.
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• Martha Patricia Buckley, O.D.
• Bung Joo Choi Physician Assistant PC
• Brigitte Anne Caille, R.D.
• Asumption J Camacho
• Ari Canlian
• Arnold Gambong Cardona, RPT
• Adelina Castellanos

• All providers in Porter Ranch, CA
• Rehabilitation Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2009; 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.