NICOLAS IBARRA
NPI 1336868165
Student in an Organized Health Care Education/Training Program in Oakland, CA

Active since August 24, 2022
3301 E 12TH ST, OAKLAND, CA 94601(510) 269-9030 Get Directions Write a Review

NPPES record last updated: May 28, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 28, 2025, Aug 24, 2022 (2 updates tracked since 2022).

About Nicolas Ibarra NPPES

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

NICOLAS IBARRA (NPI 1336868165) is an individual student in an organized health care education/training program in Oakland, California and active in the NPI registry since August 2022.

NPPES Registry Identity

NPI1336868165
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameNICOLAS IBARRA
Location Address3301 E 12TH STOakland, CA 94601-3424
Mailing Address3301 E 12th StOakland, CA 94601-3424 · (530) 204-8953
Sole ProprietorNo
Enumeration DateAugust 24, 2022
Last NPPES UpdateMay 28, 20252 updates tracked since enumeration
NPPES CertifiedMay 28, 2025
NPI 1336868165 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Also ListedPsychologistTaxonomy 103T00000X
3301 E 12TH ST, Oakland, CA 94601

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.

Rehabilitation Practitioner
3301 E 12TH ST
OAKLAND, CA 94601
Day Training/Habilitation Specialist
3301 E 12TH ST
OAKLAND, CA 94601
Student in an Organized Health Care Education/Training Program
3301 E 12TH ST
OAKLAND, CA 94601
Psychologist
3301 E 12TH ST
OAKLAND, CA 94601
Student in an Organized Health Care Education/Training Program
3301 E 12TH ST, #259
OAKLAND, CA 94601
Psychologist
3301 E 12TH ST
OAKLAND, CA 94601
Community Health Worker
3301 E 12TH ST
OAKLAND, CA 94601
Day Training/Habilitation Specialist
3301 E 12TH ST
OAKLAND, CA 94601

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 Nicolas Ibarra's NPI number?

The NPI number for Nicolas Ibarra is 1336868165. It was assigned to this individual provider in the NPPES registry on August 24, 2022.

Where is Nicolas Ibarra located?

Nicolas Ibarra practices at 3301 E 12th St, Oakland, CA 94601. The listed phone number is (510) 269-9030.

What is Nicolas Ibarra's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Nicolas Ibarra was last updated on May 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.