Active NPI
Sandra K Ybarra, F.N.P.
- Physician Assistant
- Ventura, CA
National Provider Identifier
1902843410
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA22219
- Practice address
- Ehs 800 S Victoria
SBCH-Ed Puebo @Bath, Santa Barbara, Ca Ed
Ventura, CA 93009-1150 - Phone
- (805) 654-3814
- Fax
- (805) 654-5028
- NPI assigned
- Jun 1, 2006
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | NP10068 / RN446139 | CA | |
| Physician Assistant | 363A00000X | PA22219 | CA | Primary |
Addresses
Primary practice location
Ehs 800 S Victoria
SBCH-Ed Puebo @Bath, Santa Barbara, Ca Ed
Ventura, CA 93009-1150
Mailing address
10049 Rubicon CT
Ventura, CA 93004-2803
Phone (805) 647-0676
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| RN446139 | Medicaid | CA |
Other names 1
- Sandra K Ybarra
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)
- Enrolled
- Credentials
- Nurse Practitioner, Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA22219 | CA | MD | Physician Assistant |
| NP10068 / RN446139 | CA | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Sound Emergency Medicine PC | Past | Accepting new patients | |
| H. Allen Hooper, M.D. a Professional Corporation | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Emergency Medicine Physician
- Oxnard, CA
- NPI 1376575118
-
- Emergency Medicine Physician
- Everett, WA
- NPI 1114937919
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149120000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1335484800000",
"number": "1902843410",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10049 RUBICON CT",
"city": "VENTURA",
"state": "CA",
"postal_code": "930042803",
"telephone_number": "805-647-0676"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "EHS 800 S VICTORIA",
"address_2": "SBCH-ED PUEBO @BATH, SANTA BARBARA, CA ED",
"city": "VENTURA",
"state": "CA",
"postal_code": "930091150",
"telephone_number": "805-654-3814",
"fax_number": "805-654-5028"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YBARRA",
"first_name": "SANDRA",
"middle_name": "K",
"credential": "F.N.P.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-06-01",
"last_updated": "2012-04-27",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "CA",
"license": "NP10068 / RN446139",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CA",
"license": "PA22219",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "RN446139",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "SANDRA",
"last_name": "YBARRA",
"middle_name": "K",
"credential": "PAC",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Ventura, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.