KATRINA TAN IBONIA (NPI# 1811200124) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811200124 |
| Entity Type | Individual |
| Full Name | KATRINA TAN IBONIA |
| Credential | M.D. |
| Practice Address |
9300 Valley Childrens Pl # Se21 Madera CA 93636-8762 |
| Mailing Address |
1249 N Woodland St Apt 104 Visalia CA 93291-4791 |
| Practice Telephone | 5593538769 |
| Practice Fax Number | 5593535580 |
| Mailing Telephone | 5597364082 |
| Enumeration Date | 2010-07-16 |
| Last Update Date | 2020-01-29 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080N0001X |
Pediatrics Specialization: Neonatal-Perinatal Medicine |
A165664 | CA | Allopathic & Osteopathic Physicians |
| N | 2080N0001X |
Pediatrics Specialization: Neonatal-Perinatal Medicine |
M-2029 | GU | Allopathic & Osteopathic Physicians |
| N | 2080N0001X |
Pediatrics Specialization: Neonatal-Perinatal Medicine |
45903 | KY | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 800 Rose St, Lexington, KY 405360001 | 8593235000 |
| Street Address |
9300 VALLEY CHILDRENS PL # SE21 |
| City | MADERA |
| State | CA |
| Zip Code | 93636-8762 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043695257 | Kati Pitts | Social Worker | 9300 Valley Children's Pl., Madera, CA 93636 | 2015-07-29 |
| 1386903177 | Christina Lee-ann Badgett | Registered Nurse | 40617 Rd 406, Madera, CA 93636 | 2012-05-14 |
| 1205134897 | Gina West | Counselor | 10120 Lanes Bridge Dr, Madera, CA 93636 | 2011-03-04 |
| 1326342593 | Re Zaw | Pediatrics | 9300 Valley Children's Place, Residency Dept (ge20), Madera, CA 93636 | 2011-01-03 |
| 1013144179 | Cynthia Romer Fata | Pathology | 9300 Valley Childrens Pl # Sc12, Madera, CA 93636 | 2009-06-16 |
| 1689815888 | Nasser Moiduddin | Pediatrics | 9300 Valley Childrens Pl # PC14, Madera, CA 93636 | 2009-03-18 |
| 1174503338 | James Clifton Horspool | Pediatrics | 9300 Valley Children's Place, Mb01, Madera, CA 93636 | 2006-01-21 |
| 1205818465 | James Weston Hole | Obstetrics & Gynecology | 9300 Valley Children's Pl, Fe16, Madera, CA 93636 | 2005-11-15 |
| 1740838994 | Francisco Alvarez | Nurse Practitioner | 9300 Valley Childrens Pl, Madera, CA 93636 | 2019-08-30 |
| 1679056493 | Catherine K. Beaumier | Surgery | 9300 Valley Children's Pl., Madera, CA 93636 | 2018-09-07 |
| Find all providers in zip 93636 | ||||
| Taxonomy Code | 2080N0001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Neonatal-Perinatal Medicine |
| A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891743761 | Larry Tinsley Viii | Pediatrics | Childrens Hospital Central Calirornia Nicu, 9300 Valley Childrens Place, Madera, CA 93638-8762 | 2006-05-04 |
| 1154308484 | Gamdur S Brar | Pediatrics | 2339 W Cleveland Ave Ste 101, Madera, CA 93637-8765 | 2005-12-28 |
| 1821457011 | Valley Children's Medical Group - Dept Of | Pediatrics | 9300 Valley Childrens Pl, Madera, CA 93636-8761 | 2016-02-16 |
| 1225436553 | David Box | Pediatrics | 9300 Valley Childrens Pl, Madera, CA 93636-8761 | 2014-12-19 |
| 1114280930 | Central California Neonatology Group, Inc | Pediatrics | 9300 Valley Childrens Pl, Madera, CA 93636-8761 | 2012-06-18 |
| 1649538174 | An Na Liang | Pediatrics | 9300 Valley Childrens Pl, Madera, CA 93636-8761 | 2012-05-03 |
| 1144478819 | Neonatal Perinatal Medical Group, Inc. | Pediatrics | 9300 Valley Childrens Pl, Madera, CA 93636-8761 | 2008-09-05 |
| 1659543791 | Anand Krishnakumar Rajani | Pediatrics | 9300 Valley Childrens Pl, Madera, CA 93636-8761 | 2008-03-28 |
| 1104945617 | Devinder Raj Chopra | Pediatrics | 9300 Valley Childrens Pl, Madera, CA 93636-8761 | 2007-03-28 |
| 1326122425 | Mario Augusto Rojas | Pediatrics | 9300 Valley Childrens Pl, Madera, CA 93636-8761 | 2006-10-25 |
| Find all providers in MADERA | ||||
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| 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.