Fahmy Ibrahim, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

A89455 Issued in CA

Practice address

2401 E Orangeburg Ave Ste 675
Modesto, CA 95355-3379

Phone

(718) 300-5714

NPI assigned

Oct 2, 2006

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

Other identifiers 1

Other names 1

• Fahmy Ibrahim Professional name

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: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: fahmy.ibrahim@hca3.eclinicaldirectplus.com

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.

• County of Napa

  • Community/Behavioral Health Agency
  • Napa, CA
  • NPI 1164572426
  Medicare reassignment NPD
• Golden State Providers, a Medical Corporation

  • Multi-Specialty Clinic/Center
  • Moorpark, CA
  • NPI 1366859449
  Medicare reassignment NPD
• San Joaquin Behavioral Health Services

  • Community/Behavioral Health Agency
  • Stockton, CA
  • NPI 1215028931
  Medicare reassignment NPD
• County of Kern

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Bakersfield, CA
  • NPI 1568658821
  Medicare reassignment
• County of San Joaquin

  • Multi-Specialty Clinic/Center
  • Manteca, CA
  • NPI 1417407636
  NPD
• Napa County

  • Public Health or Welfare Agency
  • Napa, CA
  • NPI 1467507699
  NPD
• San Joaquin County Public Health Services

  • Public Health or Welfare Agency
  • Stockton, CA
  • NPI 1356453831
  NPD
• County of Ventura

  • General Acute Care Hospital
  • Ventura, CA
  • NPI 1629167457
  NPD (past)
• Windstone Behavioral Health

  • Psychiatry Physician
  • Garden Grove, CA
  • NPI 1174607626
  NPD (past)
• Jewish Board for Family and Children Services

  • Community/Behavioral Health Agency
  • Brooklyn, NY
  • NPI 1366685430
  NPD (past)
• Jewish Board of Family and Children'S Services, Inc.

  • Addiction (Substance Use Disorder) Counselor
  • Brooklyn, NY
  • NPI 1760173579
  NPD (past)
• LMC Physician Services, PC

  • Internal Medicine Physician
  • Brooklyn, NY
  • NPI 1346256104

  Psychiatry

  NPD (past)

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772755200000",
    "number": "1255424404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2401 E ORANGEBURG AVE STE 675",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953553379",
            "telephone_number": "718-300-5714"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2401 E ORANGEBURG AVE STE 675",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953553379",
            "telephone_number": "718-300-5714"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IBRAHIM",
        "first_name": "FAHMY",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-02",
        "last_updated": "2026-03-06",
        "certification_date": "2026-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "A89455",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02618720",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "FAHMY",
            "last_name": "IBRAHIM",
            "credential": "M.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Azelia Ibarra
• Bianka Ibarra
• Christine Ibarra, HS DIPLOMA
• Kelley Ibarra, FNP
• Dawn Ibbs, M.S., SLP
• Waleed Abdul Ibrahim, M.D.
• Sayed Mansoor Ibrahimi
• Jayanthi Idury
• Elmer Pedere Ignacio, M.D.
• Yulia Ikuta

• Psychiatry Physician in Modesto, CA
• Providers in Modesto, CA by specialty
• Psychiatry Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2026; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.