Angelica Ibarra
Physician Assistant (Medical)

Address: 10316 Woodley Ave, Granada Hills, CA 91344-6916
Phone: 8183685651

Angelica Ibarra (NPI# 1770896961) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider Identifier (NPI) 1770896961
Entity Type Individual
Full Name Angelica Ibarra
Credential PA-C
Gender Female
Practice Address 10316 Woodley Ave
Granada Hills
CA 91344-6916
Practice Telephone 8183685651
Practice Fax Number 8183634770
Mailing Address 10316 Woodley Ave
Granada Hills
CA 91344-6916
Mailing Telephone 8183685651
Mailing Fax Number 8183634770
Sole Proprietor No, this individual is not a Sole Proprietor
Enumeration Date 2010-07-16
Last Update Date 2014-01-08

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
Yes 363AM0700X Physician Assistant · Medical Physician Assistants & Advanced Practice Nursing Providers 20981 CA

Physician Overview

NPI 1770896961
PAC ID by PECOS 7315136819
Professional Enrollment ID I20110114000357
Full Name Angelica V Ibarra
Organization Legal Name AVA SHAMBAN A MEDICAL CORPORATION
Phone Number 3108439915
Gender F
Graduation Year 2008
Primary Specialty PHYSICIAN ASSISTANT
Group Practice PAC ID 5698890846
Number of Group Practice Members 5
Accepts Medicare Assignment Y

Office Location

Street Address 10316 WOODLEY AVE
City GRANADA HILLS
State CA
Zip Code 91344-6916

Providers in the same location

NPI Name Taxonomy Address Enumeration
1083604755 Evelyn Dianna Jankowski Dermatology 10316 Woodley Ave, Granada Hills, CA 91344-6916 2005-10-25
1053658005 Jamie Kim Physician Assistant 10316 Woodley Ave, Granada Hills, CA 91344-6916 2013-01-10
1629164587 Anna Lee Nurse Practitioner 10316 Woodley Ave, Granada Hills, CA 91344-6916 2006-10-05
1831200633 Evelyn Jankowski Md Inc Dermatology 10316 Woodley Ave, Granada Hills, CA 91344 2006-08-31
1124057831 Chutima Ningsomboon Physician Assistant 10316 Woodley Ave, Granada Hills, CA 91344-6916 2006-07-03

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NPI Name Taxonomy Address Enumeration
1376016642 Hypnos Sleep Laboratory & Treatement Center, Inc Clinic/Center 17050 Chatsworth Blvd. Suite 243, Granada Hills, CA 91344 2019-01-09
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1790264588 Ben Maguerrero Respiratory Therapist, Registered 16851 Simonds St, Granada Hills, CA 91344 2018-08-13
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1831568815 Nowelle Gaid Natividad Physician Assistant 10535 Collett Ave, Granada Hills, CA 91344 2015-09-18
1154728434 Da & Ar Hospice Care, Inc Hospice Care, Community Based 10315 Woodley Ave Suite 205, Granda Hills, CA 91344 2014-12-02
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Taxonomy Information

Taxonomy Code 363AM0700X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Medical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1043603400 Deshawn Michael Roberson Physician Assistant 10515 Balboa Blvd, Suite 285, Granada Hills, CA 91344-6343 2015-03-10
1447439609 Claudia L. Carcamo Physician Assistant 17709 Chatsworth St, Granada Hills, CA 91344-5675 2007-10-24
1114112596 Sibu Rajan Physician Assistant 16907 Devonshire St, Granada Hills, CA 91344-7407 2007-09-10
1356451082 Walter P Del Pinal Physician Assistant 16907 Devonshire St, Granada Hills, CA 91344-7407 2006-08-30

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NPI Name Taxonomy Address Enumeration
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1962968032 Elaine L Chen Physician Assistant 10 Congress St Ste 502, Pasadena, CA 91105-3023 2019-02-14
1962966309 Tashina Jessica Kraintz Physician Assistant 10431 Caminito Alvarez, San Diego, CA 92126-5838 2019-01-30
1790249514 Shubing Yu Physician Assistant 2707 E Valley Blvd Ste 103, West Covina, CA 91792-3196 2019-01-25
1952875957 Michelle Rose Abraham Physician Assistant 2633 Pacific Ave # 1, Stockton, CA 95204-4429 2019-01-14
1134692692 Monique Miranda Hernandez Physician Assistant 25405 Hancock Ave Ste 108, Murrieta, CA 92562-5983 2019-01-08
1265905236 Nicole Fiss Physician Assistant 8367 Variel Ave, Canoga Park, CA 91304-4348 2019-01-02
1902378979 Michael S Yeh Physician Assistant 1827 Antioch Rd, Claremont, CA 91711-2767 2019-01-01
1295206381 Brooke Myrberg Physician Assistant 1469 S Bedford St Apt 5, Los Angeles, CA 90035-3537 2018-12-16
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Competitor

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City GRANADA HILLS
Zip Code 91344

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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