NPI Code Detail JSON Logo

1093629180 NPI number — SAMANTHA FRANCHESCA IBARRA

NPI Number: 1093629180
Health Care Provider/Practitioner: SAMANTHA FRANCHESCA IBARRA

Information about “1093629180” NPI (SAMANTHA FRANCHESCA IBARRA) exists in 1093629180 in HTML format HTML  |  1093629180 in plain Text format TXT  |  1093629180 in PDF (Portable Document Format) PDF  |  1093629180 in an XML format XML  formats.

NPI Number : 1093629180 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1093629180",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "IBARRA",
    "FirstName": "SAMANTHA",
    "MiddleName": "FRANCHESCA",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "ZELAYA",
    "OtherFirstName": "SAMANTHA",
    "OtherMiddleName": "F",
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "14811 PARTHENIA ST APT 11",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "PANORAMA CITY",
    "MailingAddressStateName": "CA",
    "MailingAddressPostalCode": "91402-2844",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "818-282-3441",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "2032 MARENGO ST",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "LOS ANGELES",
    "PracticeLocationAddressStateName": "CA",
    "PracticeLocationAddressPostalCode": "90033-1319",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "213-989-7700",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "09/28/2026",
    "LastUpdateDate": "09/28/2026",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "164X00000X",
        "TaxonomyName": "Licensed Vocational Nurse",
        "LicenseNumber": "751799",
        "LicenseNumberStateCode": "CA",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

Copyright © 2007-2026 Data Labs Health. All rights reserved.