Active NPI
Hydi Ybarra
- Physician Assistant
- Hawthorne, CA
National Provider Identifier
1730929563
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA68612
- Practice address
- 4455 W 117TH St
Hawthorne, CA 90250-2241 - Phone
- (310) 645-0599
- NPI assigned
- May 29, 2024
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA68612 | CA | Primary |
Addresses
Primary practice location
4455 W 117TH St
Hawthorne, CA 90250-2241
Mailing address
1000 S Fremont Ave Unit 7
Alhambra, CA 91803-8897
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- University of Southern California Keck School of Medicine, 2026
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
24582 Del Prado
Apt 213
Dana Point, CA 92629-3814
2550 W Main St
Suite 301
Alhambra, CA 91801-7003
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1716940800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1730929563",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1000 S FREMONT AVE UNIT 7",
"city": "ALHAMBRA",
"state": "CA",
"postal_code": "918038897"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4455 W 117TH ST",
"city": "HAWTHORNE",
"state": "CA",
"postal_code": "902502241",
"telephone_number": "310-645-0599"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YBARRA",
"first_name": "HYDI",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-05-29",
"last_updated": "2026-07-13",
"certification_date": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CA",
"license": "PA68612",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hawthorne, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.