SERGIO A IBANEZ CM
NPI 1972021152
Social Worker - Clinical in San Diego, CA

Q: What is Sergio Ibanez's NPI number?

The NPI number for Sergio Ibanez is 1972021152. It was assigned to this individual provider in the NPPES registry on September 7, 2017.

Q: What is Sergio Ibanez's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Q: When was this NPI record last updated?

The NPPES record for Sergio Ibanez was last updated on March 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.

Active since September 07, 2017PECOS EnrolledAccepts Medicare Assignment

4361 NEWTON AVE, SAN DIEGO, CA 92113(760) 505-5366 Get Directions Write a Review

NPPES record last updated: March 19, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 19, 2025, Nov 7, 2024, Jul 25, 2022 and 2 more (5 updates tracked since 2018).

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About Sergio A Ibanez Cm NPPES

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

SERGIO A IBANEZ CM (NPI 1972021152) is an individual clinical provider in San Diego, California, licensed in California (114575) and active in the NPI registry since September 2017. He is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1972021152

Entity TypeIndividualMale

Primary Taxonomy1041C0700X

Provider Legal NameSERGIO A IBANEZCredential: CM

Location Address4361 NEWTON AVESan Diego, CA 92113-3430

Mailing Address4361 Newton AveSan Diego, CA 92113-3430 · (760) 505-5366

Phone(760) 505-5366

Sole ProprietorNo

Medical School CMSOtherGraduated 2019

Enumeration DateSeptember 7, 2017

Last NPPES UpdateMarch 19, 20255 updates tracked since enumeration

NPPES CertifiedMarch 19, 2025

✔ NPI 1972021152 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code1041C0700X

License✔ Licensed in CA · 114575

Definition

A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.

4361 NEWTON AVE, San Diego, CA 92113

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Sergio A Ibanez Cm is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8426415233

PECOS Enrollment IDI20230609002669

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92113 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$0.00 typical visit price

range $62.10 – $184.71

Typical copayment $0.00 (range $15.52 – $46.17)

Most-billed visit code NA

Established Patient

$76.87 typical visit price

range $20.62 – $151.42

Typical copayment $19.21 (range $5.15 – $37.85)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Ibanez's NPI number?

The NPI number for Sergio Ibanez is 1972021152. It was assigned to this individual provider in the NPPES registry on September 7, 2017.

Where is Sergio Ibanez located?

Sergio Ibanez practices at 4361 Newton Ave, San Diego, CA 92113. The listed phone number is (760) 505-5366.

What is Sergio Ibanez's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Sergio Ibanez enrolled in Medicare?

Yes. Sergio Ibanez is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Sergio Ibanez was last updated on March 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.