MARTHA ASUNCION IBARRA
NPI 1114957289
Nurse Practitioner in San Diego, CA
About Martha Asuncion Ibarra NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MARTHA ASUNCION IBARRA (NPI 1114957289) is an individual nurse practitioner in San Diego, California, licensed in California (NP12112) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS and is a graduate of Other (2012).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Martha Asuncion Ibarra is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
2Medicare enrollment records show Martha Ibarra reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
San Diego, CA 92115
- Reassigned Medicare billing, California enrollment
- 577 clinicians in this Medicare group
San Diego, CA 92115
- Reassigned Medicare billing, California enrollment
- 1,100 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 92105 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
SAN DIEGO, CA 92105
SAN DIEGO, CA 92105
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 Martha Ibarra's NPI number?
The NPI number for Martha Ibarra is 1114957289. It was assigned to this individual provider in the NPPES registry on July 4, 2006.
Where is Martha Ibarra located?
Martha Ibarra practices at 4290 Polk Ave, San Diego, CA 92105. The listed phone number is (619) 563-0507.
What is Martha Ibarra's specialty?
The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.
Is Martha Ibarra enrolled in Medicare?
Yes. Martha Ibarra is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Martha Ibarra's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Martha Ibarra reassigns Medicare benefits to 2 organizations: Centro De Salud De La Comunidad De San Ysidro, Inc. (San Diego, CA) and Family Health Centers Of San Diego, Inc (San Diego, CA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Martha Ibarra's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Martha Ibarra was last updated on October 9, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years 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.
# Martha Asuncion Ibarra · NPI 1114957289
Nurse Practitioner physician in San Diego, California. Individual provider, active in the CMS NPPES registry since July 4, 2006.
## Identity
- **NPI:** 1114957289 (Entity type: Individual)
- **Enumerated:** July 4, 2006
- **Primary specialty:** Nurse Practitioner · taxonomy 363L00000X
- **State license:** NP12112 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 4290 POLK AVE, San Diego, CA 92105-1524
- **Phone:** (619) 563-0507 · **Fax:** (619) 563-0015
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Centro De Salud De La Comunidad De San Ysidro, Inc. (NPI 1205477841, San Diego, CA); Family Health Centers Of San Diego, Inc (NPI 1023054004, San Diego, CA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2012
## Record status
- **NPPES last updated:** October 9, 2012
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Source: [NPI Profile](https://npiprofile.com/npi/1114957289) · Data from the CMS NPPES public registry.