Individual provider Active NPI

John Ibarra, LMFT

  • Marriage & Family Therapist
  • Pasadena, CA
National Provider Identifier
1851798383
Registry record updated May 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
101607 Issued in CA
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

Updated by the provider on May 16, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
101607CAMDMarriage & Family Therapist
76995CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
The Open Door Network PastSince Sep 10, 2023 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.

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.

Verify at the official NPI Registry.