Mark Ibrahim

Primary specialty

Home Health AideTaxonomy code 374U00000X

Practice address

1120 Viewcrest CT
Corona, CA 92882-8908

Phone

(347) 817-0674

NPI assigned

Oct 19, 2018

Last updated

Feb 4, 2020By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Qcare Connect Inc

  • Home Health Agency
  • Corona, CA
  • NPI 1497436158
  NPD Authorized official
• Tender Touch Physical Therapy P.C.

  • Physical Therapy Clinic/Center
  • Corona, CA
  • NPI 1376174771
  NPD Authorized official
• Feld Care Therapy Inc

  • Physical Therapist
  • Tampa, FL
  • NPI 1134075864
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1539907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580774400000",
    "number": "1033685755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1120 VIEWCREST CT",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928828908",
            "telephone_number": "347-817-0674"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1120 VIEWCREST CT",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928828908",
            "telephone_number": "347-817-0674"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IBRAHIM",
        "first_name": "MARK",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-10-19",
        "last_updated": "2020-02-04",
        "certification_date": "2020-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Valeria Ibarra-Martinez
• Brenda Ibarra
• Nallely Ibarra
• Dina Ibrahim, O.D.
• Jacqueline Ibrahim, RPH
• Ic Group Inc (ic medical transportation)
• Ie Non-Emergency Medical Transportation Inc.
• Iemisi (Iemisi Dept of Radiology)
• Iemisi
• Ieptsir, Inc.

• Home Health Aide in Corona, CA
• Providers in Corona, CA by specialty
• Home Health Aide in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.