Individual provider Active NPI

Zulianna Ibrahim, M.D.

  • Family Medicine Physician
  • Palmdale, CA
National Provider Identifier
1265093108
Registry record updated Sep 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A180378 Issued in CA
Practice address
38209 47TH St E
Palmdale, CA 93552-3113
Phone
(661) 951-3100
NPI assigned
Jun 21, 2019
Last updated
Sep 19, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X NU
Family Medicine Physician 207Q00000X A180378 CA Primary

Addresses

Primary practice location

38209 47TH St E
Palmdale, CA 93552-3113

Mailing address

38209 47TH St E
Palmdale, CA 93552-3113
Phone (661) 951-3100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Apr 10, 2026 through Apr 10, 2028

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
George Washington University School of Medicine, 2019
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

43839 15TH St W
Lancaster, CA 93534-4756

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
High Desert Medical Group Family Medicine CurrentSince Nov 14, 2022 Accepting new patients
Lancaster Hospital Corporation Past Accepting new patients
Kenneth V. Miselis, M.D. Inc. Past Accepting new patients

Locations

43839 15th St W
Lancaster, CA 93534
Phone (661) 945-5984

38209 47th St E
Palmdale, CA 93552
Phone (661) 236-0046

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: zulianna.ibrahim@direct.hdmg.nextgenshare.com

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1561075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663545600000",
    "number": "1265093108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "38209 47TH ST E",
            "city": "PALMDALE",
            "state": "CA",
            "postal_code": "935523113",
            "telephone_number": "661-951-3100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "38209 47TH ST E",
            "city": "PALMDALE",
            "state": "CA",
            "postal_code": "935523113",
            "telephone_number": "661-951-3100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IBRAHIM",
        "first_name": "ZULIANNA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-21",
        "last_updated": "2022-09-19",
        "certification_date": "2022-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A180378",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palmdale, CA

Sources for this page

Verify at the official NPI Registry.