Nicolas Ibarra, is a
Student In An Organized Health Care Education/training Program based in Oakland, California. Nicolas Ibarra is licensed to practice in * (Not Available) (license number ) and his current practice location is
3301 E 12th St, Oakland, California. He can be reached at his office (for appointments etc.) via phone at
(510) 269-9030.
NPI number for Nicolas Ibarra is 1336868165 and his current mailing address is 3301 E 12th St, Oakland, California. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1336868165.
Healthcare Provider's Profile
| Full Name | Nicolas Ibarra |
|---|
| Gender | Male |
|---|
| Speciality | Student In An Organized Health Care Education/training Program |
|---|
| Location | 3301 E 12th St, Oakland, California |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1336868165
- Provider Enumeration Date: 08/24/2022
- Last Update Date: 05/28/2025
Medical Identifiers
Medical identifiers for Nicolas Ibarra such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1336868165 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 103T00000X | Psychologist | (* (Not Available)) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Nicolas Ibarra is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Nicolas Ibarra,
3301 E 12th St,
Oakland, CA 94601-3424
Ph: (530) 204-8953 | Nicolas Ibarra,
3301 E 12th St,
Oakland, CA 94601-3424
Ph: (510) 269-9030 |
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