Ibrahim Ghanem Chiropractic Inc

Primary specialty

Rehabilitation ChiropractorTaxonomy code 111NR0400X

License

25696 Issued in CA

Legal business name

IBRAHIM GHANEM CHIROPRACTIC INC

Doing business as

Fountain Valley Chiropractic & Rehab Center

Practice address

8840 Warner Ave
100
Fountain Valley, CA 92708-3232

Phone

(714) 533-2922

Fax

(714) 533-2902

NPI assigned

Mar 19, 2013

Last updated

Mar 19, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Ibrahim Ghanem, D.C.NPI 1427226398

Title

President

Phone

(714) 533-2922

Specialties & licenses 1

Addresses

Other names 1

• FOUNTAIN VALLEY CHIROPRACTIC & REHAB CENTER Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Tax ID family

Anaheim Chiropractic Medical Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Anaheim Chiropractic & Medical Center

  • Chiropractor
  • Anaheim, CA
  • NPI 1265682173
  NPD tax ID

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Ibrahim A Ghanem, D.C

  • Chiropractor
  • Anaheim, CA
  • NPI 1427226398
  Medicare reassignment Authorized official
• Mohamed Hassanin, DC

  • Chiropractor
  • Lakewood, CA
  • NPI 1649705807
  NPD (past)

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

{
    "created_epoch": "1363651200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1363651200000",
    "number": "1235471079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8840 WARNER AVE",
            "address_2": "100",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927083232",
            "telephone_number": "714-533-2922",
            "fax_number": "714-533-2902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8840 WARNER AVE",
            "address_2": "100",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927083232",
            "telephone_number": "714-533-2922",
            "fax_number": "714-533-2902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IBRAHIM GHANEM CHIROPRACTIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-19",
        "last_updated": "2013-03-19",
        "status": "A",
        "authorized_official_last_name": "GHANEM",
        "authorized_official_first_name": "IBRAHIM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "714-533-2922",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111NR0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Rehabilitation",
            "state": "CA",
            "license": "25696",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FOUNTAIN VALLEY CHIROPRACTIC & REHAB CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Trung V. Huynh, M.D
• Tung T Huynh
• Ramona Ibarra Escalera Neri
• Mary Carmen Castrejon Ibarra, ACSW
• Abdullah Ibish, MD
• Marianna Ibrahim, D.D.S.
• Maryanne Rose Ibrahim, M.D.
• Zakkiyya Ibrahim, BEHAVIOR TECHNICIAN
• Idamed Inc (At Home Medical Equipment & Supplies)
• Ideal Mobile MD Medical Group, Inc (Ideal IPA)

• Rehabilitation Chiropractor in Fountain Valley, CA
• Providers in Fountain Valley, CA by specialty
• Rehabilitation Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2013; 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.