Angelica V Ibarra Physician Assistant
2021 Santa Monica Blvd, Suite 600, Santa Monica, CA 90404-2166


Angelica V Ibarra is physician registered in the Centers for Medicare & Medicaid Services (CMS). The National Provider Identifier (NPI) of the National Plan and Provider Enumeration System (NPPES) is 1770896961. The unique individual professional ID assigned by Provider Enrollment, Chain, and Ownership System (PECOS) is 7315136819. The primary specialty is PHYSICIAN ASSISTANT. The organization is AVA T SHAMBAN MD INC. The address is 2021 Santa Monica Blvd, Suite 600, Santa Monica, CA 90404-2166. The zip code is 90404.


Angelica V Ibarra · 2021 Santa Monica Blvd, Suite 600, Santa Monica, CA 90404-2166

Nation Provider ID 1770896961
PAC ID by PECOS 7315136819
Professional Enrollment ID I20110114000357
Last Name IBARRA
First Name ANGELICA
Middle Name V
Gender F
Medical School Name OTHER
Graduation Year 2008
Primary Specialty PHYSICIAN ASSISTANT
Primary Specialty AVA T SHAMBAN MD INC
Phone Number 3104179063
Group Practice PAC ID 9931136892
Number of Group Practice Members 4
Address 2021 SANTA MONICA BLVD
SUITE 600
SANTA MONICA, CA 904042166
Professional accepts Medicare Assignment Y
Report Quality Measures Y

Ava T Shamban Md Inc · Medicare Physician

Name Address Specialty
Rene Farahmandian 2021 Santa Monica Blvd, Santa Monica, CA 90404-2166 PHYSICIAN ASSISTANT
Gregory Vandyke 2021 Santa Monica Blvd, Santa Monica, CA 90404-2166 DERMATOLOGY

Zip 90404 · Physician Assistant · Medicare Physician

Name Address Specialty
Rene Farahmandian 2021 Santa Monica Blvd, Santa Monica, CA 90404-2166 PHYSICIAN ASSISTANT
Patricia Maloney 2001 Santa Monica Blvd, Santa Monica, CA 90404-2105 PHYSICIAN ASSISTANT
Rea Abaniel 2001 Santa Monica Blvd, Santa Monica, CA 90404-2105 PHYSICIAN ASSISTANT
Judy Truong 2121 Santa Monica Blvd, Santa Monica, CA 90404-2303 PHYSICIAN ASSISTANT
Lisa Cano 2811 Wilshire Blvd, Santa Monica, CA 90404-4812 PHYSICIAN ASSISTANT
Anahita Ghodsian 2001 Santa Monica Blvd, Santa Monica, CA 90404-2105 PHYSICIAN ASSISTANT
Christina Beck 1301 20th St, Santa Monica, CA 90404-2090 PHYSICIAN ASSISTANT
Tanya Cariveau 2121 Santa Monica Blvd, Santa Monica, CA 90404-2303 PHYSICIAN ASSISTANT
Megan Detoy 2001 Santa Monica Blvd, Santa Monica, CA 90404-2105 PHYSICIAN ASSISTANT
Jason Menadue 2121 Santa Monica Blvd, Santa Monica, CA 90404-2303 PHYSICIAN ASSISTANT
Gina Gabreski 2121 Santa Monica Blvd, Santa Monica, CA 90404-2303 PHYSICIAN ASSISTANT
Eliza Coleman 2121 Santa Monica Blvd, Santa Monica, CA 90404-2303 PHYSICIAN ASSISTANT
Miramannee Merryman 2121 Santa Monica Blvd, Santa Monica, CA 90404-2303 PHYSICIAN ASSISTANT
Bradley Summers 2001 Santa Monica Blvd, Santa Monica, CA 90404-2105 PHYSICIAN ASSISTANT
Stacy El Berni 2121 Santa Monica Blvd, Santa Monica, CA 90404-2303 PHYSICIAN ASSISTANT

Zip 90404 · Medicare Physician

Name Address Specialty
Susan Leonard 2020 Santa Monica Blvd, Santa Monica, CA 90404-2023 GERIATRIC MEDICINE
Mary Mccloy 2020 Santa Monica Blvd, Santa Monica, CA 90404-2023 NURSE PRACTITIONER
Thomas Mattimore 2020 Santa Monica Blvd, Santa Monica, CA 90404-2023 INTERNAL MEDICINE
Kristen Kipps 2020 Santa Monica Blvd, Santa Monica, CA 90404-2023 INTERNAL MEDICINE
Caroline Close 2001 Santa Monica Blvd, Santa Monica, CA 90404-2105 FAMILY PRACTICE
Zachary Rubin 2020 Santa Monica Blvd, Santa Monica, CA 90404-2023 INFECTIOUS DISEASE
Vladimir Manuel 2001 Santa Monica Blvd, Santa Monica, CA 90404-2105 FAMILY PRACTICE
Ben Weitz 1448 15th St, Santa Monica, CA 90404-2756 CHIROPRACTIC
Stephane Garcia 2001 Santa Monica Blvd, Santa Monica, CA 90404-2105 FAMILY PRACTICE
Aarthi Arasu 2020 Santa Monica Blvd, Santa Monica, CA 90404-2023 ENDOCRINOLOGY
Elizabeth Ko 2020 Santa Monica Blvd, Santa Monica, CA 90404-2023 INTERNAL MEDICINE
Gan Ng 2020 Santa Monica Blvd, Santa Monica, CA 90404-2023 INTERNAL MEDICINE
Dina Kiseleva 2001 Santa Monica Blvd, Santa Monica, CA 90404-2199 OBSTETRICS/GYNECOLOGY
Kalyanam Shivkumar 2020 Santa Monica Blvd, Santa Monica, CA 90404-2023 CARDIOVASCULAR DISEASE (CARDIOLOGY)
Carl Schulze 2020 Santa Monica Blvd, Santa Monica, CA 90404-2023 NEPHROLOGY
Ravi Dave 2020 Santa Monica Blvd, Santa Monica, CA 90404-2023 CARDIOVASCULAR DISEASE (CARDIOLOGY)
Alan Lee 2020 Santa Monica Blvd, Santa Monica, CA 90404-2023 FAMILY PRACTICE
Isaac Bash 2121 Santa Monica Blvd, Santa Monica, CA 90404-2303 EMERGENCY MEDICINE
Phuong-thu Pham 2020 Santa Monica Blvd, Santa Monica, CA 90404-2023 NEPHROLOGY
Biren Kamdar 2020 Santa Monica Blvd, Santa Monica, CA 90404-2023 PULMONARY DISEASE