Individual provider Active NPI

Waheed Said Ibrahimi, MD

  • Internal Medicine Physician
  • San Ramon, CA
National Provider Identifier
1174716583
Registry record updated Apr 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A128575 Issued in CA
Practice address
1081 Market PL Ste 500
San Ramon, CA 94583-4750
Phone
(925) 365-7337
Fax
(925) 522-4372
NPI assigned
Aug 20, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 42035 AZ
Internal Medicine Physician 207R00000X A128575 CA Primary

Addresses

Primary practice location

1081 Market PL Ste 500
San Ramon, CA 94583-4750

Mailing address

4847 Hopyard Rd
Suite 4411
Pleasanton, CA 94588-3360
Phone (510) 512-0533

Other practice location 1

175 N Jackson Ave Ste 202
San Jose, CA 95116-1909
Phone (925) 365-7337

Other identifiers 1

IdentifierTypeStateIssuer
453891MedicaidAZ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ, CA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20090918000433 AZ Practitioner - Internal Medicine 1254487010 Reassigns benefits to 2 organizations
I20151210002055 CA Practitioner - Internal Medicine 1254487010 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1081 Market PL
Suite 500
San Ramon, CA 94583-4750
Phone (925) 365-7337

Hospital & facility affiliations

  • San Ramon Regional Medical Center Hospital, San Ramon, CA, CCN 050689

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A128575CAMDInternal Medicine Physician

Practice roles (15 of 16)

OrganizationSpecialtyStatusNew patients
DCHS Medical Foundation Family Medicine CurrentSince May 17, 2016 Accepting new patients
Quantum Healthcare Medical Associates Inc. Family Medicine CurrentSince Jan 1, 2016 Accepting new patients
Verity Medical Foundation CurrentSince May 17, 2016 Accepting new patients
Inpatient Specialists of California, PC Family Medicine CurrentSince Mar 1, 2019 Accepting new patients
Hospitalist Medicine Physicians of California, Inc Family Medicine CurrentSince Sep 1, 2018 Accepting new patients
Cogent Healthcare of Arizona PC Internal Medicine CurrentSince Feb 15, 2017 Accepting new patients
Ibrahimi Medical Inc Internal Medicine CurrentSince Feb 1, 2023 Accepting new patients
Quantum Bay Area Hospitalist Medical Group Inc Internal Medicine CurrentSince Apr 1, 2019 Accepting new patients
City of Hope Medical Group of Arizona LLC Internal Medicine CurrentSince Mar 8, 2017 Accepting new patients
Banner Sun City Medical Group Past Accepting new patients
Desert Canyon Internal Medicine PLLC Internal Medicine Past Accepting new patients
West Coast Veins and Vascular Inc Past Accepting new patients
John Muir Physician Network Past Accepting new patients
Ipc Hospitalists of New Mexico, Inc Family Medicine Past Accepting new patients
Tbird Hospitalist Group, LLC Internal Medicine Past Accepting new patients

Locations (25 of 33)

14200 W Celebrate Life Way
Goodyear, AZ 85338
Phone (623) 207-3000

5102 W Campbell Ave
Phoenix, AZ 85031
Phone (623) 848-5000

2020 N Central Ave
Ste 1010
Phoenix, AZ 85004
Phone (602) 553-8400

16640 N 38th St
Phoenix, AZ 85032
Phone (602) 482-6671

3929 E Bell Rd
Phoenix, AZ 85032
Phone (602) 923-5000

9003 E Shea Blvd
Scottsdale, AZ 85260
Phone (480) 323-3383

7400 E Osborn Rd
Scottsdale, AZ 85251
Phone (480) 481-4000

5700 E Highway 90
Sierra Vista, AZ 85635
Phone (520) 263-2000

350 N Wilmot Rd
Tucson, AZ 85711
Phone (520) 873-3000

18300 US Highway 18
Apple Valley, CA 92307
Phone (760) 424-2311

2615 Chester Ave
Bakersfield, CA 93301
Phone (661) 381-7545

2309 Antonio Ave
Camarillo, CA 93010
Phone (805) 389-5655

1255 Travis Blvd
Fairfield, CA 94533
Phone (707) 425-0623

556 Mowry Ave
Ste 102
Fremont, CA 94536
Phone (408) 247-5337

155 Glasson Way
Grass Valley, CA 95945
Phone (530) 274-6000

2500 Grant Rd
Mountain View, CA 94040
Phone (650) 903-9500

25455 Medical Center Dr
Ste 200
Murrieta, CA 92562
Phone (951) 894-7056

4847 Hopyard Rd
Ste 4411
Pleasanton, CA 94588

2550 Sister Mary Columba Dr
Red Bluff, CA 96080
Phone (530) 529-8000

1441 Constitution Blvd
Salinas, CA 93906
Phone (831) 261-8090

625 Lincoln Ave
San Jose, CA 95126
Phone (408) 278-3003

175 N Jackson Ave
Ste 202
San Jose, CA 95116
Phone (669) 235-4188

13855 E 14th St
San Leandro, CA 94578
Phone (510) 357-6500

1081 Market Pl
Ste 500
San Ramon, CA 94583
Phone (669) 235-4188

2101 N Waterman Ave
Sn Bernrdno, CA 92404
Phone (909) 881-4305

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 15

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.

View all 15

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1187568000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681689600000",
    "number": "1174716583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4847 HOPYARD RD",
            "address_2": "SUITE 4411",
            "city": "PLEASANTON",
            "state": "CA",
            "postal_code": "945883360",
            "telephone_number": "510-512-0533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1081 MARKET PL STE 500",
            "city": "SAN RAMON",
            "state": "CA",
            "postal_code": "945834750",
            "telephone_number": "925-365-7337",
            "fax_number": "925-522-4372"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "175 N Jackson Ave Ste 202",
            "address_purpose": "LOCATION",
            "city": "San Jose",
            "state": "CA",
            "postal_code": "951161909",
            "country_code": "US",
            "telephone_number": "925-365-7337",
            "fax_number": "925-522-4372",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "IBRAHIMI",
        "first_name": "WAHEED",
        "middle_name": "SAID",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-08-20",
        "last_updated": "2023-04-17",
        "certification_date": "2023-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AZ",
            "license": "42035",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A128575",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "453891",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Ramon, CA

Sources for this page

Verify at the official NPI Registry.