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

Mr. Sergio Miguel Ibarra, ATC, EMT

Individual provider Athletic Trainer · NPI 1902443518

Mr. Sergio Miguel Ibarra, ATC, EMT is an Athletic Trainer in San Diego, California. Practices as a sole proprietor. Licensed in California, New Jersey and New York.

Licensed in
CA, NJ, NY
In the registry since
2019
Specialties on file
3
What do these letters mean?
ATC — Certified Athletic Trainer
Prevents and treats sport and activity injuries.
EMT — Emergency Medical Technician
Provides emergency care before and during transport to hospital.

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Practice location Address checks out

5500 Campanile Dr
San Diego, CA 92182-4313
Phone: (619) 594-7652
Fax: (619) 594-7654
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Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X · Licence 090602134 (CA)
Athletic Trainer Taxonomy 2255A2300X · Licence 001749 (NY)
Athletic Trainer Taxonomy 2255A2300X · Licence 25MT00203400 (NJ)

Record details

NPI number1902443518
Entity typeIndividual (Type 1)
GenderMale
Credentials ATC , EMT
Sole proprietorYes
NPI enumeratedDecember 2, 2019
Last updated in NPPESDecember 2, 2019

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