Vortex Psychiatry, Inc.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

Legal business name

VORTEX PSYCHIATRY, INC.

Practice address

4155 Blackhawk Plaza Cir Ste 240
Danville, CA 94506-4613

Phone

(925) 648-2650

Fax

(925) 648-2530

NPI assigned

Nov 19, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Said Ali Ibrahimi, MDNPI 1740560861

Title

Owner

Phone

(925) 648-2650

Specialties & licenses 5

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Said Ali Ibrahimi, M.D.

  • Psychiatry Physician
  • Danville, CA
  • NPI 1740560861

  Single Specialty

  Medicare reassignment NPD Authorized official
• Sidharth G Sharma, MD

  • Psychiatry Physician
  • San Ramon, CA
  • NPI 1396069050
  NPD (past)
• Vivian Sun, MD

  • Child & Adolescent Psychiatry Physician
  • Concord, CA
  • NPI 1295891703
  NPD (past)

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

{
    "created_epoch": "1447891200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1677369600000",
    "number": "1083088652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3860 BLACKHAWK RD STE 170",
            "city": "DANVILLE",
            "state": "CA",
            "postal_code": "945064668",
            "telephone_number": "925-648-2650",
            "fax_number": "925-648-2530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4155 BLACKHAWK PLAZA CIR STE 240",
            "city": "DANVILLE",
            "state": "CA",
            "postal_code": "945064613",
            "telephone_number": "925-648-2650",
            "fax_number": "925-648-2530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VORTEX PSYCHIATRY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-19",
        "last_updated": "2023-02-26",
        "certification_date": "2023-02-26",
        "status": "A",
        "authorized_official_last_name": "IBRAHIMI",
        "authorized_official_first_name": "SAID",
        "authorized_official_middle_name": "ALI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "925-648-2650",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2084P0802X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Addiction Psychiatry",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "CA",
            "license": "A129171",
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "CA",
            "license": "A129171",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "A129171",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Psychiatry Physician in Danville, CA
• Providers in Danville, CA by specialty
• Psychiatry Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.