Active NPI
John Ibarra, LMFT
- Marriage & Family Therapist
- Pasadena, CA
National Provider Identifier
1851798383
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 101607
- Practice address
- 940 Avenue 64
Pasadena, CA 91105 - Phone
- (323) 543-2800
- NPI assigned
- Nov 26, 2014
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 76995 | CA | |
| Marriage & Family Therapist | 106H00000X | 101607 | CA | Primary |
Addresses
Primary practice location
940 Avenue 64
Pasadena, CA 91105
Mailing address
940 Avenue 64
Pasadena, CA 91105-2711
Phone (323) 543-2800
Other practice location 1
1001 Tower Way Ste 250
Bakersfield, CA 93309-1598
Phone (661) 323-1233 ext. 1852
Other practice location 2
1921 19th St
Bakersfield, CA 93301-4209
Phone (661) 322-0931
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 101607 | CA | MD | Marriage & Family Therapist |
| 76995 | CA | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Open Door Network | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Supports Brokerage Agency
- Bakersfield, CA
- NPI 1023894813
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1416960000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1526428800000",
"number": "1851798383",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "940 AVENUE 64",
"city": "PASADENA",
"state": "CA",
"postal_code": "911052711",
"telephone_number": "323-543-2800"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "940 AVENUE 64",
"city": "PASADENA",
"state": "CA",
"postal_code": "91105",
"telephone_number": "323-543-2800"
}
],
"practiceLocations": [
{
"address_1": "1001 Tower Way Ste 250",
"address_purpose": "LOCATION",
"city": "Bakersfield",
"state": "CA",
"postal_code": "933091598",
"country_code": "US",
"telephone_number": "661-323-1233 x1852",
"fax_number": "661-323-8090",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1921 19th St",
"address_purpose": "LOCATION",
"city": "Bakersfield",
"state": "CA",
"postal_code": "933014209",
"country_code": "US",
"telephone_number": "661-322-0931",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "IBARRA",
"first_name": "JOHN",
"credential": "LMFT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-11-26",
"last_updated": "2018-05-16",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "76995",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "101607",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pasadena, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.