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

Martha Asuncion Ibarra

Individual provider Nurse Practitioner · NPI 1114957289

Martha Asuncion Ibarra is a Nurse Practitioner in San Diego, California. Qualified in 2012, 14 years ago. Practices with Centro De Salud De La Comunidad De San Ysidro, Inc, a 291-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
14
Licensed in
CA
In the registry since
2006
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Practice location Address checks out

4290 Polk Ave
San Diego, CA 92105-1524
Phone: (619) 563-0507
Fax: (619) 563-0015
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence NP12112 (CA)

Record details

NPI number1114957289
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJuly 4, 2006
Last updated in NPPESOctober 9, 2012

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Centro De Salud De La Comunidad De San Ysidro,Inc. — 291 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations13 on file with Medicare

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