Yesenia Ibarra

Primary specialty

Pharmacy TechnicianTaxonomy code 183700000X

License

124820 Issued in CA

Practice address

220 E Grand Ave
El Segundo, CA 90245-3827

Phone

(424) 391-9955

Fax

(310) 640-0804

NPI assigned

Nov 17, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Yesenia Guadalupe Ibarra Carvajal Other name

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 and National Provider Directory roles.

• Thrifty Payless Inc

  • Community/Retail Pharmacy
  • El Segundo, CA
  • NPI 1457367757
  NPD (past)

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

{
    "created_epoch": "1637107200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680739200000",
    "number": "1972260685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 E GRAND AVE",
            "city": "EL SEGUNDO",
            "state": "CA",
            "postal_code": "902453827",
            "telephone_number": "310-640-2715",
            "fax_number": "310-640-0804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 E GRAND AVE",
            "city": "EL SEGUNDO",
            "state": "CA",
            "postal_code": "902453827",
            "telephone_number": "424-391-9955",
            "fax_number": "310-640-0804"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IBARRA",
        "first_name": "YESENIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-11-17",
        "last_updated": "2023-04-06",
        "certification_date": "2023-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374700000X",
            "taxonomy_group": "",
            "desc": "Technician",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "183700000X",
            "taxonomy_group": "",
            "desc": "Pharmacy Technician",
            "state": "CA",
            "license": "124820",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "YESENIA",
            "last_name": "IBARRA CARVAJAL",
            "middle_name": "GUADALUPE",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Hydra Health Centers
• Hygia Care, Inc.
• Emily Kay Hyry
• Maria Isabel Ibardolaza, AGNP-C
• Mayra Ibarra
• Isabelle Ibay
• Mohamed Ibrahim
• Sabrin Ibrahim
• Elizabeth Idrogo
• Cameron Ifekwunigwe

• Pharmacy Technician in El Segundo, CA
• Providers in El Segundo, CA by specialty
• Pharmacy Technician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2023; 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.