KASANDRA JASMINE IBARRA CTRS
NPI 1710690748
Counselor - Addiction (Substance Use Disorder) in Los Angeles, CA

Active since January 04, 2023
12021 WILMINGTON AVE, BLDG. 18 SUITE 300, LOS ANGELES, CA 90059(424) 454-6041 Get Directions Write a Review

NPPES record last updated: September 24, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 24, 2024, Jan 4, 2023 (2 updates tracked since 2023).

About Kasandra Jasmine Ibarra Ctrs NPPES

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

KASANDRA JASMINE IBARRA CTRS (NPI 1710690748) is an individual addiction (substance use disorder) provider in Los Angeles, California, licensed in California (18041) and active in the NPI registry since January 2023.

NPPES Registry Identity

NPI1710690748
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameKASANDRA JASMINE IBARRACredential: CTRS
Location Address12021 WILMINGTON AVE, BLDG. 18 SUITE 300Los Angeles, CA 90059
Mailing Address12021 Wilmington Ave, Bldg. 18 Suite 300Los Angeles, CA 90059
Sole ProprietorNo
Enumeration DateJanuary 4, 2023
Last NPPES UpdateSeptember 24, 20242 updates tracked since enumeration
NPPES CertifiedSeptember 24, 2024
NPI 1710690748 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License Licensed in CA · 18041
Also ListedRecreation TherapistTaxonomy 225800000X
12021 WILMINGTON AVE, Los Angeles, CA 90059

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.

Otolaryngology
12021 WILMINGTON AVE, DEPT OF OTOLARYNGOLOGY
LOS ANGELES, CA 90059
Physician Assistant
12021 WILMINGTON AVE
LOS ANGELES, CA 90059
Counselor (Addiction (Substance Use Disorder))
12021 WILMINGTON AVE
LOS ANGELES, CA 90059
Day Training/Habilitation Specialist
12021 WILMINGTON AVE, BUILDING 18 SUITE 4D
LOS ANGELES, CA 90059
Internal Medicine
12021 WILMINGTON AVE
LOS ANGELES, CA 90059
Physician Assistant
12021 WILMINGTON AVE
LOS ANGELES, CA 90059
Internal Medicine
12021 WILMINGTON AVE
LOS ANGELES, CA 90059
Clinic/Center
12021 WILMINGTON AVE
LOS ANGELES, CA 90059

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 Kasandra Ibarra's NPI number?

The NPI number for Kasandra Ibarra is 1710690748. It was assigned to this individual provider in the NPPES registry on January 4, 2023.

Where is Kasandra Ibarra located?

Kasandra Ibarra practices at 12021 Wilmington Ave Bldg. 18 Suite 300, Los Angeles, CA 90059. The listed phone number is (424) 454-6041.

What is Kasandra Ibarra'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 Kasandra Ibarra was last updated on September 24, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.