Javier Ybarra, MSW

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

License

58665 Issued in TX

Practice address

1904 E Griffin Pkwy
Mission, TX 78572-3106

Phone

(956) 585-2439

NPI assigned

Mar 20, 2014

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Jorky Inc.

  • Comprehensive Outpatient Rehabilitation Facility (CORF)
  • Mission, TX
  • NPI 1659307254
  NPD (past)

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

{
    "created_epoch": "1395273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1395273600000",
    "number": "1578980108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1904 E GRIFFIN PKWY",
            "city": "MISSION",
            "state": "TX",
            "postal_code": "785723106",
            "telephone_number": "956-585-2439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1904 E GRIFFIN PKWY",
            "city": "MISSION",
            "state": "TX",
            "postal_code": "785723106",
            "telephone_number": "956-585-2439"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YBARRA",
        "first_name": "JAVIER",
        "credential": "MSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-03-20",
        "last_updated": "2014-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "TX",
            "license": "58665",
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "TX",
            "license": "58665",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "149229001",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1739435",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "172183901",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Victor Wilson, OTR
• Winnie-Stowell Hospital District
• Y2K Medical Supply
• Matthew Steven Yarborough, DDS
• Elisa Yvette Ybarra-Tipton, LMSW
• Kayla Rose Ybarra, PT, DPT
• Krystal Lee Ybarra
• Yvette Ybarra, ASLP
• Yc Affordable Service Corp
• Henry Destura Yee, NP

• Case Manager/Care Coordinator in Mission, TX
• Providers in Mission, TX by specialty
• Case Manager/Care Coordinator in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2014; 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.