Active NPI
VMC Center for Regenerative Medicine Inc
- Clinic/Center
- Valencia, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinic/Center
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ahmad Ibrahim, DO
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 05D2106967 | VMC Center for Regenerative Medicine | Certificate of waiver | Jan 3, 2028 |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Family Medicine Physician
- Valencia, CA
- NPI 1881006120
-
- Family Medicine Physician
- Santa Ana, CA
- NPI 1063779163
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.