Audrey Lynn Ibarra

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

6402 Issued in CA

Practice address

706 N Diamond Bar Blvd Ste B
Diamond Bar, CA 91765-1059

Phone

(909) 396-8900

NPI assigned

May 27, 2026

Last updated

May 27, 2026By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Pristine Rehab Care

  • Early Intervention Provider Agency
  • Diamond Bar, CA
  • NPI 1093046286
  NPD (past)
• Pristine Rehabcare, Inc

  • Early Intervention Provider Agency
  • Diamond Bar, CA
  • NPI 1518258532
  NPD (past)

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

{
    "created_epoch": "1779840000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779840000000",
    "number": "1891626982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "933 WILLOW AVE",
            "city": "LA PUENTE",
            "state": "CA",
            "postal_code": "917461664",
            "telephone_number": "562-325-7630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "706 N DIAMOND BAR BLVD STE B",
            "city": "DIAMOND BAR",
            "state": "CA",
            "postal_code": "917651059",
            "telephone_number": "909-396-8900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IBARRA",
        "first_name": "AUDREY",
        "middle_name": "LYNN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-05-27",
        "last_updated": "2026-05-27",
        "certification_date": "2026-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "CA",
            "license": "6402",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yung Lin Huang, M.D.
• Sarah Catherine Huizenga, MSW, LCSW
• Crystal Huong
• Hokkei Hwang, PHYSICAL THERAPIST
• Hyoungwook Kim DDS Inc (Ohkims Dental)
• Jesse Jr Ibarra Jr.
• Adrian Jonathan Ichwan, PHARMD
• Simran Idnani, DNP, PMH-BC
• Tamlyn Ige
• Infinite Blessings Care Home Inc.

• Occupational Therapy Assistant in Diamond Bar, CA
• Providers in Diamond Bar, CA by specialty
• Occupational Therapy Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2026; 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.