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MARCO ANTONIO IBARRA MEDINA
NPI 1093547689
Counselor - Addiction (Substance Use Disorder) in Riverside, CA

Active since August 14, 2024
4440 UNIVERSITY AVE, RIVERSIDE, CA 92501(951) 683-6596 Get Directions Write a Review

NPPES record last updated: August 18, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Marco Antonio Ibarra Medina NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARCO ANTONIO IBARRA MEDINA (NPI 1093547689) is an individual addiction (substance use disorder) provider in Riverside, California and active in the NPI registry since August 2024.

NPPES Registry Identity

NPI1093547689
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameMARCO ANTONIO IBARRA MEDINA
Location Address4440 UNIVERSITY AVERiverside, CA 92501-3199
Mailing Address5870 Arlington AveRiverside, CA 92504-2037 · (951) 683-6596
Phone(951) 683-6596
Sole ProprietorYes
Enumeration DateAugust 14, 2024
Last NPPES UpdateAugust 18, 2024
NPPES CertifiedAugust 18, 2024
✔ NPI 1093547689 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
4440 UNIVERSITY AVE, Riverside, CA 92501
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SELESTE LOZANO
Counselor (Professional)
4440 UNIVERSITY AVE
RIVERSIDE, CA 92501
Riverside County (951) 683-6596
SAMANTHA ROSE DURO RADT1
Counselor (Addiction (Substance Use Disorder))
4440 UNIVERSITY AVE
RIVERSIDE, CA 92501
Riverside County (951) 683-6596
DARLENE ANN KORTA RADT 1
Counselor (Addiction (Substance Use Disorder))
4440 UNIVERSITY AVE
RIVERSIDE, CA 92501
Riverside County (951) 683-6596
GENEVIEVE GRADILLA LVN
Licensed Vocational Nurse
4440 UNIVERSITY AVE
RIVERSIDE, CA 92501
Riverside County (951) 683-6596
EVERTH JOSE CHAMORRO ACSW
Social Worker (Clinical)
4440 UNIVERSITY AVE
RIVERSIDE, CA 92501
Riverside County (951) 683-6596
MR. MASSIE ANDRE AVANT JR. RS
Counselor (Addiction (Substance Use Disorder))
4440 UNIVERSITY AVE
RIVERSIDE, CA 92501
Riverside County (951) 683-6596
MR. WILLIAM JOSEPH PATE RADT-I
Counselor (Addiction (Substance Use Disorder))
4440 UNIVERSITY AVE
RIVERSIDE, CA 92501
Riverside County (951) 505-0312
DAVID JOSHUA PENTECOST
Counselor
4440 UNIVERSITY AVE
RIVERSIDE, CA 92501
Riverside County (951) 683-6596

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Marco Ibarra Medina's NPI number?

The NPI number for Marco Ibarra Medina is 1093547689. It was assigned to this individual provider in the NPPES registry on August 14, 2024.

Where is Marco Ibarra Medina located?

Marco Ibarra Medina practices at 4440 University Ave, Riverside, CA 92501. The listed phone number is (951) 683-6596.

What is Marco Ibarra Medina's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Marco Ibarra Medina was last updated on August 18, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.