Nagi Ibrahim, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

A75003 Issued in CA

Practice address

2122S El Camino Real 102
Oceanside, CA 92054-6209

Phone

(760) 453-2700

Fax

(760) 529-5896

NPI assigned

Dec 15, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Interoperability endpoints

• Direct secure messaging: nagi.ibrahim@398008301912068.direct.elationemr.com

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

• Nagi Ibrahim MD Inc

  • Internal Medicine Physician
  • Oceanside, CA
  • NPI 1558500777
  NPD (past) Authorized official
• Southern California Hospitalist Network Medical Group Inc

  • Internal Medicine Physician
  • Orange, CA
  • NPI 1790880458
  NPD (past)

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

{
    "created_epoch": "1134604800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1438905600000",
    "number": "1174509756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2122S EL CAMINO REAL 102",
            "city": "OCEANSIDE",
            "state": "CA",
            "postal_code": "920546209",
            "telephone_number": "760-453-2700",
            "fax_number": "760-529-5896"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2122S EL CAMINO REAL 102",
            "city": "OCEANSIDE",
            "state": "CA",
            "postal_code": "920546209",
            "telephone_number": "760-453-2700",
            "fax_number": "760-529-5896"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IBRAHIM",
        "first_name": "NAGI",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-12-15",
        "last_updated": "2015-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A75003",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda Hyatt
• Katherine Anne Hylan, NP
• Jennifer Ibasan, FNP
• Ibloom Therapy Inc.,
• Nadia Ibrahim
• Julie Ann Ideta
• Jennifer Ikemoto
• Jason Imhoff, LCSW
• Impact Anesthesia Associates
• Inform Diagnostics, Inc.

• Internal Medicine Physician in Oceanside, CA
• Providers in Oceanside, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2015; 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.