DR. KATRINA TAN IBONIA M.D. NPI 1811200124

NPI Information

  • NPI: 1811200124
  • Provider Name: DR. KATRINA TAN IBONIA, M.D.
  • Classification: Pediatrics - 2080N0001X
  • Specialization: Neonatal-Perinatal Medicine
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 9300 VALLEY CHILDRENS PL # SE21
    MADERA, CA
    ZIP 93636
  • Phone: (559) 353-8769

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NPI Details

DR. Katrina Tan Ibonia, M.D. is a neonatal-perinatal medicine pediatrics in Madera, CA. The provider is a pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies. DR. Katrina Tan Ibonia, M.D. NPI is 1811200124. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

9300 VALLEY CHILDRENS PL # SE21
MADERA, CA
ZIP 93636-762
Phone: (559) 353-8769
Fax: (559) 353-5580

The NPI 1811200124 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 7/16/2010 and was last updated on 3/1/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12080N0001XPediatricsNeonatal-Perinatal Medicine45903KENTUCKYNo
22080N0001XPediatricsNeonatal-Perinatal MedicineM-2029GUAMNo
3390200000XStudent in an Organized Health Care Education/Training ProgramNo
42080N0001XPediatricsNeonatal-Perinatal MedicineA165664CALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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