SearchCaliforniaAthletic Trainer

Sergio Ibarra, ATC, EMT

NPI 1902443518 · on the registry since 2019 · sole proprietor

Practice

Address
5500 Campanile Drive
San Diego, CA 92182
Phone
(619) 594-7652
Fax
(619) 594-7654
Organisation at this address
San Diego State University
San Diego State University
San Diego State University Student Health Services
San Diego State University Student Health Services
Inferred from a shared address, not stated in the registry.
Clinicians at this address
71

Registry record

Primary taxonomy
Athletic Trainer
2255A2300X
Also registered as
Athletic Trainer
Athletic Trainer
Licence states on file
NY, NJ, CA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2019-12-02

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California