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

Maximo Ibarra, PA

Individual provider Medical Physician Assistant · NPI 1366641425

Maximo Ibarra, PA is a Physician Assistant in Whittier, California. Qualified in 1980, 46 years ago. Practices with PIH Health Physicians, a 614-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
46
Licensed in
CA
In the registry since
2007
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

15725 E Whittier Blvd
Whittier, CA 90603-2347
Phone: (562) 947-7754
Fax: (562) 902-9599
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence PA10811 (CA)

Record details

NPI number1366641425
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedJuly 17, 2007
Last updated in NPPESJuly 17, 2007
Mailing addressP O Box 1277, Whittier, CA 90609-1277

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 1980 (46 years in practice)
Group practice Pih Health Physicians — 614 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Whittier