Organization Active NPI

VMC Center for Regenerative Medicine Inc

  • Clinic/Center
  • Valencia, CA
National Provider Identifier
1235935560
Registry record updated Feb 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
VMC CENTER FOR REGENERATIVE MEDICINE INC
Practice address
24159 Magic Mountain Pkwy
Valencia, CA 91355-3904
Phone
(661) 222-9117
NPI assigned
Feb 19, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2025

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

Authorized official

Name
Ahmad Ibrahim, DONPI 1881006120
Title
Authorized Official
Phone
(661) 222-9117

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

24159 Magic Mountain Pkwy
Valencia, CA 91355-3904

Mailing address

24159 Magic Mountain Pkwy
Valencia, CA 91355-3904
Phone (661) 222-9117

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20251217002297 CA Part B Supplier - Clinic/Group Practice 8628563624 Receives reassigned benefits from 2 practitioners
Practice locations: Valencia, CA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D2106967VMC Center for Regenerative Medicine24159 Magic Mountain Pkwy, Valencia, CA 91355Certificate of waiverJan 3, 2028

National Provider Directory

National Provider Directory

Locations

24159 Magic Mountain Pkwy
Valencia, CA 91355
Phone (661) 222-9117

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1739923200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1739923200000",
    "number": "1235935560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24159 MAGIC MOUNTAIN PKWY",
            "city": "VALENCIA",
            "state": "CA",
            "postal_code": "913553904",
            "telephone_number": "661-222-9117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24159 MAGIC MOUNTAIN PKWY",
            "city": "VALENCIA",
            "state": "CA",
            "postal_code": "913553904",
            "telephone_number": "661-222-9117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VMC CENTER FOR REGENERATIVE MEDICINE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-19",
        "last_updated": "2025-02-19",
        "certification_date": "2025-02-19",
        "status": "A",
        "authorized_official_last_name": "IBRAHIM",
        "authorized_official_first_name": "AHMAD",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "661-222-9117",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Valencia, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.