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

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: November 01, 2026.

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

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, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignments

3

Medicare enrollment records show Sergio Ibanez reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Southern California Permanente Medical Group
5.8 mi
Health Maintenance Organization
1288 CAMINO DEL RIO N
San Diego, CA 92108
  • Reassigned Medicare billing, California enrollment
  • 13,921 clinicians in this Medicare group
NPI 1023425972 (877) 608-0044
Grow Healthcare Group PC
420 mi
Mental Health
99 S ALMADEN BLVD STE 600
San Jose, CA 95113
  • Reassigned Medicare billing, California enrollment
  • 3,139 clinicians in this Medicare group
NPI 1154994846 (408) 402-4385
Sud Specialty Group - Ca
426 mi
Addiction Medicine
4633 OLD IRONSIDES DR STE 304
Santa Clara, CA 95054
  • Reassigned Medicare billing, California enrollment
  • 1,607 clinicians in this Medicare group
NPI 1972138238 (323) 205-7088

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

Which organizations bill Medicare for Sergio Ibanez's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sergio Ibanez reassigns Medicare benefits to 3 organizations: Southern California Permanente Medical Group (San Diego, CA), Grow Healthcare Group PC (San Jose, CA) and Sud Specialty Group - Ca (Santa Clara, CA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Sergio Ibanez's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

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 19 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.