Laura Beatriz Ibarra

Primary specialty

DentistTaxonomy code 122300000X

License

109342 Issued in CA

Practice address

1 Daniel Burnham CT Ste 120C
San Francisco, CA 94109-0451

Phone

(415) 567-3580

NPI assigned

Feb 23, 2023

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

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.

• Gurjit S Randhwa DDS, Inc.

  • Dental Clinic/Center
  • Alameda, CA
  • NPI 1306594312
  NPD (past)

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

{
    "created_epoch": "1677110400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724803200000",
    "number": "1699473108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 DANIEL BURNHAM CT STE 120C",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941090451",
            "telephone_number": "415-567-3580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 DANIEL BURNHAM CT STE 120C",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941090451",
            "telephone_number": "415-567-3580"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3085 24th St Ste 202",
            "address_purpose": "LOCATION",
            "city": "San Francisco",
            "state": "CA",
            "postal_code": "941104147",
            "country_code": "US",
            "telephone_number": "415-525-4377",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "IBARRA",
        "first_name": "LAURA",
        "middle_name": "BEATRIZ",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-02-23",
        "last_updated": "2024-08-28",
        "certification_date": "2024-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "109342",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Faviola Ibarra, M.S, CF-SLP
• Jazmin Ibarra
• Juan G Ibarra
• Karen Ibarra, MD
• Kimberly Yesenia Ibarra
• Miguel Angel Ibarra, LCSW
• Nancy Ibarra, LCSW
• Ryne Ibarra, DC
• Chioma Ugochi Ibe, MSC, MAPM, MA
• Cletus Ibe, PA

• Dentist in San Francisco, CA
• Providers in San Francisco, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2024; 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.