Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jonathan Ibanez, DPM

Individual provider Foot & Ankle Surgery Podiatrist · NPI 1679344295

Jonathan Ibanez, DPM is a Foot & Ankle Surgery Podiatrist in Loma Linda, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2024
What do these letters mean?
DPM — Doctor of Podiatric Medicine
A foot and ankle physician and surgeon.

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Practice location Address checks out

11201 Benton St
Loma Linda, CA 92357-1000
Phone: (909) 825-7084
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Foot & Ankle Surgery Podiatrist (primary) Taxonomy 213ES0103X · Licence EL7105 (CA)

Record details

NPI number1679344295
Entity typeIndividual (Type 1)
GenderMale
Credentials DPM
Sole proprietorYes
NPI enumeratedJanuary 11, 2024
Last updated in NPPESJanuary 11, 2024
Certification dateJanuary 11, 2024

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