MR. SERGIO MIGUEL IBARRA ATC, EMT
NPI 1902443518
Specialist/Technologist - Athletic Trainer in San Diego, CA

Active since December 02, 2019
5500 CAMPANILE DRIVE, SAN DIEGO, CA 92182(619) 594-7652(619) 594-7654 Get Directions Write a Review

NPPES record last updated: December 2, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mr. Sergio Miguel Ibarra Atc, Emt NPPES

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

MR. SERGIO MIGUEL IBARRA ATC, EMT (NPI 1902443518) is an individual athletic trainer provider in San Diego, California, licensed in California (090602134) and active in the NPI registry since December 2019.

NPPES Registry Identity

NPI1902443518
Entity TypeIndividualMale
Primary Taxonomy2255A2300X
Provider Legal NameMR. SERGIO MIGUEL IBARRACredential: ATC, EMT
Location Address5500 CAMPANILE DRIVESan Diego, CA 92182-4313
Mailing Address6766 Kelly St Apt 4San Diego, CA 92111-6553 · (805) 245-0211
Fax(619) 594-7654
Sole ProprietorYes
Enumeration DateDecember 2, 2019
NPI 1902443518 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpecialist/Technologist · Athletic TrainerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code2255A2300X
Licenses Licensed in CA · 090602134 Licensed in NY · 001749 Licensed in NJ · 25MT00203400
Definition

Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor's degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration.

5500 CAMPANILE DRIVE, San Diego, CA 92182

Other Identifiers 1

Other090602134CA · National Athletic Trainer's Association

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.

Massage Therapist
5500 CAMPANILE DRIVE, SAN DIEGO STATE UNIVERSITY, DEPARTMENT OF ENS
SAN DIEGO, CA 92182
Student in an Organized Health Care Education/Training Program
5500 CAMPANILE DRIVE
SAN DIEGO, CA 92182
Counselor
5500 CAMPANILE DRIVE
SAN DIEGO, CA 92182
Psychiatry & Neurology (Psychiatry)
5500 CAMPANILE DRIVE
SAN DIEGO, CA 92182

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 Sergio Ibarra's NPI number?

The NPI number for Sergio Ibarra is 1902443518. It was assigned to this individual provider in the NPPES registry on December 2, 2019.

Where is Sergio Ibarra located?

Sergio Ibarra practices at 5500 Campanile Drive, San Diego, CA 92182. The listed phone number is (619) 594-7652.

What is Sergio Ibarra's specialty?

The primary specialty registered for this NPI is Specialist/Technologist, specializing in Athletic Trainer, with taxonomy code 2255A2300X.

When was this NPI record last updated?

The NPPES record for Sergio Ibarra was last updated on December 2, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.