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

Q: 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.

Q: What is Sergio Ibarra's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Sergio Ibarra was last updated on December 2, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years 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.

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: August 16, 2026.

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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

Phone(619) 594-7652

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

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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.

MS. JANIAN KAYE THURMAN MPH, RKT

Massage Therapist

5500 CAMPANILE DRIVE, SAN DIEGO STATE UNIVERSITY, DEPARTMENT OF ENS
SAN DIEGO, CA 92182

San Diego County (619) 594-2017

RAND AL URFALI

Student in an Organized Health Care Education/Training Program

5500 CAMPANILE DRIVE
SAN DIEGO, CA 92182

San Diego County (619) 387-6100

RACHEL MAHONEY MSW

Counselor

5500 CAMPANILE DRIVE
SAN DIEGO, CA 92182

San Diego County (619) 278-2400

DR. INBAR SHAVIT M.D.

Psychiatry & Neurology (Psychiatry)

5500 CAMPANILE DRIVE
SAN DIEGO, CA 92182

San Diego County (619) 594-4325

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 weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years 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.