DR. SERGIO CARLOS IBARRA (NPI# 1720467145) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720467145 |
| Entity Type | Individual |
| Full Name | DR. SERGIO CARLOS IBARRA |
| Credential | DMD |
| Practice Address |
23441 Madison St Ste 150 Torrance CA 90505-4756 |
| Practice Telephone | 3103732960 |
| Mailing Telephone | 3103732960 |
| Enumeration Date | 2015-05-19 |
| Last Update Date | 2018-08-15 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
102991 | CA | Dental Providers |
| N | 1223G0001X |
Dentist Specialization: General Practice |
058909 | NY | Dental Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 111 E 210th St, Bronx, NY 104672401 | 7189204321 | |
| 1911 Jerome Ave, Bronx, NY 104535707 | 7189431341 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902443518 | Sergio Miguel Ibarra | Specialist/Technologist | 5500 Campanile Drive, San Diego, CA 92182-4313 | 2019-12-02 |
| 1477195162 | Sergio Camarena Ibarra | Behavior Technician | 1301 E Orangewood Ave, Anaheim, CA 92805-6807 | 2019-10-14 |
| 1871960088 | Sergio Ibarra | Specialist/Technologist | 871 Old Alice Rd, Suite 600, Brownsville, TX 78520-8268 | 2015-08-24 |
| 1124067228 | Sergio Ibarra | Emergency Medicine | 1801 N Oregon St, El Paso, TX 79902-3524 | 2006-06-05 |
| Street Address |
23441 MADISON ST STE 150 |
| City | TORRANCE |
| State | CA |
| Zip Code | 90505-4756 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558488734 | Toshifumi Sugimori | Dentist | 23441 Madison St Ste 150, Torrance, CA 90505-4756 | 2007-03-23 |
| 1831677541 | Lisa Sugimori | Dentist | 23441 Madison St Ste 150, Torrance, CA 90505-4756 | 2018-08-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780229260 | Sleep Apnea Team LLC | Clinic/Center | 2785 Pacific Coast Hwy Ste. E #197, Torrance, CA 90505 | 2019-11-08 |
| 1811469349 | Laura Anne Bloomberg | Marriage & Family Therapist | 2790 Sky Park Drive, Suite 215, Torrance, CA 90505 | 2018-12-21 |
| 1629544234 | Doroty O.d.s. Devalon | Physician Assistant | 23530 Hawthorne Boulevard Building 1, Suite 290, Torrance, CA 90505 | 2018-10-22 |
| 1790270486 | Juste Karvelyte | Dentist | 3500 Lomita Blvd Ste 201, Torrance, CA 90505 | 2018-06-26 |
| 1023507324 | Robert De Leon | Physician Assistant | 23530 Hawthorne Blvd Ste 290, Torrance, CA 90505 | 2018-05-02 |
| 1376052274 | Regents of The University of California | Durable Medical Equipment & Medical Supplies | 3500 Lomita Bvld, Suite 300, Torrance, CA 90505 | 2017-09-22 |
| 1649796038 | Chan & Huang Dental Partnership | Dentist | 3640 Lomita Blvd., #208, Torrance, CA 90505 | 2017-08-17 |
| 1093238370 | Family Acupuncture, Inc. | Specialist/Technologist, Other | 2820 Sepulveda Blvd.ste.a, Torrance, CA 90505 | 2017-07-19 |
| 1629518535 | J Lee Acupuncture | Acupuncturist | 24248 Crenshaw Blvd. #106, Torrance, CA 90505 | 2017-02-27 |
| 1770932360 | Maha Hanna Dds Inc | Dentist | 3710 Pacific Coast Hwy, Ste 101, Torrance, CA 90505 | 2016-06-06 |
| Find all providers in zip 90505 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831717230 | Daniel Inouye | Dentist | 22850 Crenshaw Blvd Ste 102, Torrance, CA 90505-3055 | 2020-07-12 |
| 1174143747 | Dunlap Dentistry | Dentist | 3400 Lomita Blvd Ste 406, Torrance, CA 90505-4991 | 2020-04-23 |
| 1760953772 | O.h. Barkhordar Dental Group, Inc | Dentist | 23609 Hawthorne Blvd Ste B, Torrance, CA 90505-5903 | 2018-12-17 |
| 1790270486 | Juste Karvelyte | Dentist | 3500 Lomita Blvd Ste 201, Torrance, CA 90505 | 2018-06-26 |
| 1891288890 | Ehab Samaan Dds Inc | Dentist | 19019 Hawthorne Blvd Ste 100b, Torrance, CA 90503 | 2018-06-13 |
| 1164941068 | Angela Beatrice Fedonenko | Dentist | 2171 Torrance Blvd Ste 1, Torrance, CA 90501-2657 | 2017-09-12 |
| 1649796038 | Chan & Huang Dental Partnership | Dentist | 3640 Lomita Blvd., #208, Torrance, CA 90505 | 2017-08-17 |
| 1063949493 | Ahmad Zafar Karimi | Dentist | 4906 Halison St, Torrance, CA 90503-2048 | 2017-05-16 |
| 1306370796 | Steven Yun | Dentist | 2740 Arlington Ave Apt G, Torrance, CA 90501-7612 | 2017-04-12 |
| 1013467463 | Javid Dental Corporation | Dentist | 24667 Crenshaw Blvd, Suite D, Torrance, CA 90505-5360 | 2016-10-10 |
| Find all providers in TORRANCE | ||||
Please comment or provide details below to improve the information on DR. SERGIO CARLOS IBARRA.
| 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.