Fawzy Ahmed Ibrahim, DPM

Primary specialty

PodiatristTaxonomy code 213E00000X

License

E5915 Issued in CA

Practice address

3424 1St Ave
San Diego, CA 92103-4802

Phone

(619) 295-9494

Fax

(619) 295-9714

NPI assigned

Mar 2, 2022

Last updated

Apr 30, 2025By 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 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Podiatry

Education

New York College of Podiatric Medicine, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Socal Foot Care PCGroup PAC ID 5395110076, 29 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Scripps Memorial Hospital la Jolla Hospital, La Jolla, CA, CCN 050324

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

• Direct secure messaging: fawzy.ibrahim.1@20181.direct.athenahealth.com

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.

• Socal Foot Care PC

  dba Socal Foot Care

  • Foot & Ankle Surgery Podiatrist
  • La Jolla, CA
  • NPI 1023723913
  Medicare reassignment Care Compare group NPD
• Foot & Ankle Doctors of Beverly Hills, a Professional Corp

  dba Beverly Hills Wound Care Specialists

  • Foot & Ankle Surgery Podiatrist
  • Beverly Hills, CA
  • NPI 1457789190
  Medicare reassignment NPD
• Socal Foot Care PC

  • Foot & Ankle Surgery Podiatrist
  • Chula Vista, CA
  • NPI 1225998313
  NPD

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

• Scripps Health

  dba Scripps Memorial Hospital La Jolla

  • General Acute Care Hospital
  • La Jolla, CA
  • NPI 1841277704
  Care Compare affiliation

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

{
    "created_epoch": "1646179200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745971200000",
    "number": "1235886037",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3424 1ST AVE",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921034802",
            "telephone_number": "619-295-9494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3424 1ST AVE",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921034802",
            "telephone_number": "619-295-9494",
            "fax_number": "619-295-9714"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3342 Cerritos Ave Apt 319",
            "address_purpose": "LOCATION",
            "city": "Los Alamitos",
            "state": "CA",
            "postal_code": "907202157",
            "country_code": "US",
            "telephone_number": "201-207-2077",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "IBRAHIM",
        "first_name": "FAWZY",
        "middle_name": "AHMED",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-03-02",
        "last_updated": "2025-04-30",
        "certification_date": "2025-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "CA",
            "license": "E5915",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dima Ibnian
• Alia Ibrahim
• Doreen Ismail Ibrahim, M.D
• Faduma Bile Ibrahim
• Faiza Ibrahim
• Madonna Ibrahim, CPO
• Samira Mohamed Ibrahim
• Sarah Kamil Ibrahim
• Stephanie Ibrahim
• Ibreathe, Inc.

• Podiatrist in San Diego, CA
• Providers in San Diego, CA by specialty
• Podiatrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.