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DR. KATRINA TAN IBONIA M.D.
NPI 1811200124
Pediatrics - Neonatal-Perinatal Medicine in Madera, CA

Active since July 16, 2010PECOS Enrolled
9300 VALLEY CHILDRENS PL # SE21, MADERA, CA 93636(559) 353-8769(559) 353-5580 Get Directions Write a Review

NPPES record last updated: January 11, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jan 11, 2026, Mar 1, 2022, Jan 29, 2020 and 1 more (4 updates tracked since 2017).

About Dr. Katrina Tan Ibonia M.d. NPPES

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

DR. KATRINA TAN IBONIA M.D. (NPI 1811200124) is an individual neonatal-perinatal medicine provider in Madera, California, licensed in California (A165664) and active in the NPI registry since July 2010. She is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1811200124
Entity TypeIndividualFemale
Primary Taxonomy2080N0001X
Provider Legal NameDR. KATRINA TAN IBONIACredential: M.D.
Location Address9300 VALLEY CHILDRENS PL # SE21Madera, CA 93636-8762
Mailing Address39000 Bob Hope DrRancho Mirage, CA 92270-3221 · (760) 340-3911 · Fax (760) 834-7874
Phone(559) 353-8769
Fax(559) 353-5580
Sole ProprietorYes
Enumeration DateJuly 16, 2010
Last NPPES UpdateJanuary 11, 20264 updates tracked since enumeration
NPPES CertifiedJanuary 11, 2026
✔ NPI 1811200124 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Neonatal-Perinatal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080N0001X
Licenses✔ Licensed in CA · A165664✔ Licensed in KY · 45903✔ Licensed in GU · M-2029
Definition
A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies.
9300 VALLEY CHILDRENS PL # SE21, Madera, CA 93636
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Secondary Practice Locations 2

Location 1800 Rose StLexington, KY 40536-0001 · Phone (859) 323-5000
Location 239000 Bob Hope DrRancho Mirage, CA 92270-3221 · Phone (760) 340-3911 · Fax (760) 834-7874

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Katrina Tan Ibonia M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 4

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

DR. JEFFREY THOMAS PIETZ MD
Pediatrics (Neonatal-Perinatal Medicine)
9300 VALLEY CHILDRENS PL # SE21
MADERA, CA 93636
Madera County (559) 353-8769
DR. HAL HELBOCK MD
Pediatrics (Neonatal-Perinatal Medicine)
9300 VALLEY CHILDRENS PL # SE21
MADERA, CA 93636
Madera County (559) 353-8769
PRASHANT AGARWAL M.D.
Pediatrics (Neonatal-Perinatal Medicine)
9300 VALLEY CHILDRENS PL # SE21
MADERA, CA 93636
Madera County (559) 353-5460
DR. RADHIKA NARANG M.D.
Pediatrics (Neonatal-Perinatal Medicine)
9300 VALLEY CHILDRENS PL # SE21
MADERA, CA 93636
Madera County (559) 353-8769

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 Katrina Ibonia's NPI number?

The NPI number for Katrina Ibonia is 1811200124. It was assigned to this individual provider in the NPPES registry on July 16, 2010.

Where is Katrina Ibonia located?

Katrina Ibonia practices at 9300 Valley Childrens Pl # Se21, Madera, CA 93636. The listed phone number is (559) 353-8769.

What is Katrina Ibonia's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Neonatal-Perinatal Medicine, with taxonomy code 2080N0001X.

Is Katrina Ibonia enrolled in Medicare?

Yes. Katrina Ibonia is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Katrina Ibonia was last updated on January 11, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.