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MIGUEL IBARRA
NPI 1346883840
Student in an Organized Health Care Education/Training Program in Sebastopol, CA

Active since October 28, 2019
438 EDDIE LN, SEBASTOPOL, CA 95472(707) 823-8722 Get Directions Write a Review

NPPES record last updated: August 28, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Miguel Ibarra NPPES

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

MIGUEL IBARRA (NPI 1346883840) is an individual student in an organized health care education/training program in Sebastopol, California and active in the NPI registry since October 2019.

NPPES Registry Identity

NPI1346883840
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameMIGUEL IBARRA
Location Address438 EDDIE LNSebastopol, CA 95472-3425
Mailing Address450 Stony Point Rd Apt 103Santa Rosa, CA 95401-5970 · (707) 703-0857
Phone(707) 823-8722
Sole ProprietorNo
Enumeration DateOctober 28, 2019
Last NPPES UpdateAugust 28, 2024
NPPES CertifiedAugust 28, 2024
✔ NPI 1346883840 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
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 ListedCounselor · Mental HealthTaxonomy 101YM0800X
438 EDDIE LN, Sebastopol, CA 95472
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Other Identifiers 1

Other12179547CA · Kaiser

Other Providers at the Same Location NPPES 15

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

GREENACRE HOMES, INC.
Community Based Residential Treatment Facility, Mental Illness
438 EDDIE LN
SEBASTOPOL, CA 95472
Sonoma County (707) 823-8722
DANIELLE LAURA AMORELLI LMFT
Marriage & Family Therapist
438 EDDIE LN
SEBASTOPOL, CA 95472
Sonoma County (707) 823-8722
ROBIN SIOBHAN HAUSSERMAN LCSW
Social Worker (Clinical)
438 EDDIE LN
SEBASTOPOL, CA 95472
Sonoma County (707) 324-9774
TIMOTHY F DIMICK
Counselor
438 EDDIE LN
SEBASTOPOL, CA 95472
Sonoma County (707) 953-0835
NATHALIE MARTINEZ ASW
Social Worker
438 EDDIE LN
SEBASTOPOL, CA 95472
Sonoma County (707) 823-8722
CHEYENNE KOPERSKI
Social Worker
438 EDDIE LN
SEBASTOPOL, CA 95472
Sonoma County (707) 823-8722
ASTRID GARCIA MUNOZ
Student in an Organized Health Care Education/Training Program
438 EDDIE LN
SEBASTOPOL, CA 95472
Sonoma County (707) 346-2707
LINDSEY DERUTTE
Social Worker
438 EDDIE LN
SEBASTOPOL, CA 95472
Sonoma County (707) 823-8722

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 Miguel Ibarra's NPI number?

The NPI number for Miguel Ibarra is 1346883840. It was assigned to this individual provider in the NPPES registry on October 28, 2019.

Where is Miguel Ibarra located?

Miguel Ibarra practices at 438 Eddie Ln, Sebastopol, CA 95472. The listed phone number is (707) 823-8722.

What is Miguel 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 Miguel Ibarra was last updated on August 28, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.