Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. SERGIO MIGUEL IBARRA, ATC, EMT
Active Sole ProprietorMR. SERGIO MIGUEL IBARRA, ATC, EMT is a Athletic Trainer healthcare provider located in SAN DIEGO, California. NPI 1902443518 is currently active in the NPPES registry. Verify at CMS.
Athletic Trainer · SAN DIEGO, CA
Registration Details
- NPI Number
- 1902443518
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Dec 2, 2019 (6.5156908592516 yrs)
- Last Updated
- Dec 2, 2019
- Licenses
-
001749 (NY)25MT00203400 (NJ)090602134 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
5500 CAMPANILE DRIVESAN DIEGO, CA, 921824313Browse CA providers · Browse ZIP 92182
- Phone
- 6195947652
- Fax
- 6195947654
- Primary Specialty
-
Athletic Trainer
2255A2300X
- Additional Specialty
- Athletic Trainer
- Additional Specialty
- Athletic Trainer
Other Athletic Trainer Providers in SAN DIEGO, CA
| Name | Credential | NPI |
|---|---|---|
| MRS. CHRISTINE MARIE AHLF | M.A., A.T.C. | 1962484436 |
| MS. CAMERON LYNN WASHBURN | ATC | 1659359701 |
| MR. JAMES COLLINS JR. | ATC | 1720052780 |
| MR. DAMON L. MITCHELL | ATC | 1659345551 |
| CAROLYN RAE PETERS | MA, ATC, CSCS | 1033184064 |
| MR. ERNESTO VEGA JR. | ERNESTO VEGA | 1700848546 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.