Ibtisam Dahud

Primary specialty

ContractorTaxonomy code 171W00000X

Practice address

995 Potrero Ave
San Francisco, CA 94110-2859

Phone

(415) 206-5756

Fax

(415) 206-5513

NPI assigned

Dec 23, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1387756800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1387756800000",
    "number": "1306267018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1326 LASUEN DR",
            "city": "MILLBRAE",
            "state": "CA",
            "postal_code": "940302846",
            "telephone_number": "415-206-5756"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "995 POTRERO AVE",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941102859",
            "telephone_number": "415-206-5756",
            "fax_number": "415-206-5513"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAHUD",
        "first_name": "IBTISAM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-12-23",
        "last_updated": "2013-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171W00000X",
            "taxonomy_group": "",
            "desc": "Contractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Monica Mehrali Dahlem, MD
• Kathleen Folger Dahlen, LMFT
• Mark D. Dahlgren, MD
• Erika Dahlheim, LAC
• Brian A Dahmen, PH.D.
• David Luping Dai, MD, PHD
• Sun-Chuan Dai, MD
• Xingquan Dai
• Yuanyuan Dai
• Yuting Dai

• Contractor in San Francisco, CA
• Providers in San Francisco, CA by specialty
• Contractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.