Active NPI
Fernando Ibarra M D Inc
- Gastroenterology Physician
- Monterey Park, CA
National Provider Identifier
1912180969
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- Legal business name
- FERNANDO IBARRA M D INC
- Practice address
- 850 S Atlantic Blvd
Ste # 101
Monterey Park, CA 91754-4730 - Phone
- (626) 284-1350
- Fax
- (626) 284-2454
- NPI assigned
- Dec 13, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Fernando Ibarra, MD
- Title
- Owner
- Phone
- (626) 284-1350
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | Primary |
Addresses
Primary practice location
850 S Atlantic Blvd
Ste # 101
Monterey Park, CA 91754-4730
Mailing address
850 S Atlantic Blvd
Ste # 101
Monterey Park, CA 91754-4730
Phone (626) 284-1350
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
1401 E Cesar E Chavez Ave
Los Angeles, CA 90033
850 S Atlantic Blvd
Ste 101
Monterey Park, CA 91754
Phone (626) 281-6200
Practitioners & affiliated clinicians
Practitioners 7
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Gastroenterology Physician
- Monterey Park, CA
- NPI 1013082726
-
- Family Nurse Practitioner
- Monterey Park, CA
- NPI 1427435395
-
- Physician Assistant
- Monterey Park, CA
- NPI 1730896788
-
- Anatomic Pathology & Clinical Pathology Physician
- Los Angeles, CA
- NPI 1053855288
-
- Anatomic Pathology & Clinical Pathology Physician
- Pasadena, CA
- NPI 1811170400
-
- Gastroenterology Physician
- Los Angeles, CA
- NPI 1609190354
-
- Family Nurse Practitioner
- Monterey Park, CA
- NPI 1184272635
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1197504000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1556668800000",
"number": "1912180969",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "850 S ATLANTIC BLVD",
"address_2": "STE # 101",
"city": "MONTEREY PARK",
"state": "CA",
"postal_code": "917544730",
"telephone_number": "626-284-1350",
"fax_number": "626-284-2454"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "850 S ATLANTIC BLVD",
"address_2": "STE # 101",
"city": "MONTEREY PARK",
"state": "CA",
"postal_code": "917544730",
"telephone_number": "626-284-1350",
"fax_number": "626-284-2454"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FERNANDO IBARRA M D INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-12-13",
"last_updated": "2019-05-01",
"status": "A",
"authorized_official_last_name": "IBARRA",
"authorized_official_first_name": "FERNANDO",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "626-284-1350",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Gastroenterology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Monterey Park, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.