Active NPI
Mohamed Ibrahim, MD
- Anesthesiology Physician
- Escondido, CA
National Provider Identifier
1285682278
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- C138023
- Practice address
- 2185 Citracado Pkwy
Escondido, CA 92029-4159 - Phone
- (442) 281-5000
- NPI assigned
- May 4, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 41519 | WA | |
| Anesthesiology Physician | 207L00000X | C138023 | CA | Primary |
Addresses
Primary practice location
2185 Citracado Pkwy
Escondido, CA 92029-4159
Mailing address
16955 Via del Campo Ste 215
San Diego, CA 92127-7720
Phone (858) 673-6100
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 138023 | CA | MD | Marriage & Family Therapist |
| C138023 | CA | MD | Anesthesiology Physician |
| 41519 | WA | MD | Anesthesiology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146700800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1475539200000",
"number": "1285682278",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16955 VIA DEL CAMPO STE 215",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921277720",
"telephone_number": "858-673-6100",
"fax_number": "858-673-6110"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2185 CITRACADO PKWY",
"city": "ESCONDIDO",
"state": "CA",
"postal_code": "920294159",
"telephone_number": "442-281-5000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "IBRAHIM",
"first_name": "MOHAMED",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-04",
"last_updated": "2016-10-04",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "WA",
"license": "41519",
"primary": false
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "CA",
"license": "C138023",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Escondido, CA
- Ian Phillip Rassel (Rassel Chiropractic)
- Haylee Ibarra
- Karina D Ibarra
- Sadie Ibarra
- Veronica Y Ibarra, RADT 1
- Icon Home Health Care LLC
- Stephanie Kedhia Iem, D.O.
- David M Illich, AUD, C.C.C.A.
- Imaging Consultants, Inc. (Women's Imaging Specialists of America)
- Immediate Family Medical Care (Industrial Family Medical Care)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.