Juan M Ibarra, LCSW | |
3900 Broadway, Oakland, CA 94611-5616 | |
(510) 752-6718 | |
Not Available |
Full Name | Juan M Ibarra |
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Gender | Male |
Speciality | Social Worker - Clinical |
Location | 3900 Broadway, Oakland, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1326174061 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 22098 (California) | Primary |
Entity Name | Permanente Medical Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710 |
Mailing Address | Practice Location Address |
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Juan M Ibarra, LCSW 3900 Broadway, Oakland, CA 94611-5616 Ph: (510) 752-6718 | Juan M Ibarra, LCSW 3900 Broadway, Oakland, CA 94611-5616 Ph: (510) 752-6718 |
Ms. Karen Lisa Thomas, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 747 52nd Street, Oakland, CA 94609 Phone: 510-701-8751 | |
Mr. Gilberto Madrid, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3867 Howe St, Oakland, CA 94611 Phone: 510-531-3894 | |
Patricia Ann Sweetwine, MSW, MPH Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 5709 Market St, Oakland, CA 94608 Phone: 510-652-3300 Fax: 510-652-7720 | |
Ms. Yvonne Diane Escarsega, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1411 E 31st St, Oakland, CA 94602 Phone: 510-437-4373 Fax: 510-437-5170 | |
Ms. Stacey Nicole Francis, M.S.W. Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 925 Brockhurst St, Oakland, CA 94608 Phone: 510-923-9600 | |
Mrs. Abby Ross Blum, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 8945 Golf Links Rd, Oakland, CA 94605 Phone: 510-317-1444 | |
Aretha Hampton, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 465 34th St, Oakland, CA 94609 Phone: 510-847-8847 |