Active NPI
Zulianna Ibrahim, M.D.
- Family Medicine Physician
- Palmdale, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- A180378
- Practice address
- 38209 47TH St E
Palmdale, CA 93552-3113 - Phone
- (661) 951-3100
- NPI assigned
- Jun 21, 2019
- Last updated
- Sep 19, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| High Desert Medical Group | Family Medicine | Current | 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
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
- 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.
-
- Multi-Specialty Clinic/Center
- Lancaster, CA
- NPI 1720196702
Family Medicine
-
dba Palmdale Regional Medical Center
- Rehabilitation Hospital Unit
- Palmdale, CA
- NPI 1033109947
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- 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.