Ibraheem Al Shareef, MD
Individual provider Active NPI Pediatrics Physician · Merced, CA
NPI 1306283239 · NPPES record last updated Oct 21, 2021
Key facts
- NPI
- 1306283239
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pediatrics Physician 208000000X
- License
- 136340 (CA)
- Practice address
- 847 W Childs Ave Ste B
Merced, CA 95341-6862 - Phone
- (866) 682-4842
- Fax
- (209) 383-1296
- NPI assigned
- Jun 1, 2013
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 16
Medicare Care Compare profile
- Specialty
- Pediatric Medicine
- Education
- Other, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Golden Valley Health Centers
Practice addresses (Care Compare)
1717 Las Vegas St
Modesto, CA 95358-5500
Phone (209) 722-4842
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20171121002030 | CA | Practitioner - Pediatric Medicine | 3678830965 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 136340 | CA | MD | Marriage & Family Therapist |
Practice roles (16 of 17)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Golden Valley Health Center | Current | Accepting new patients | |
| Golden Valley Health Center | Current | Accepting new patients | |
| Golden Valley Health Center | Current | Accepting new patients | |
| Golden Valley Health Center | Current | Accepting new patients | |
| Golden Valley Health Centers | Current | Accepting new patients | |
| Golden Valley Health Center | Current |
Accepting new patients | |
| Golden Valley Health Center | Current | Accepting new patients | |
| Golden Valley Health Center | Current | Accepting new patients | |
| Golden Valley Health Center | Current | Accepting new patients | |
| Golden Valley Health Center | Current | Accepting new patients | |
| Golden Valley Health Centers | Current |
Accepting new patients | |
| Golden Valley Health Center | Current | Accepting new patients | |
| Golden Valley Health Center | Current | Accepting new patients | |
| Dignity Health | Past | Accepting new patients | |
| Catholic Health Initiatives Colorado | Past | Accepting new patients | |
| Golden Valley Health Center | Past | Accepting new patients |
Locations
1910 Customer Care Way
Atwater, CA 95301
Phone (209) 384-6488
1405 California Ave
Dos Palos, CA 93620
Phone (209) 392-2111
13161 Jefferson St
Le Grand, CA 95333
Phone (209) 389-1900
821 Texas Ave
Los Banos, CA 93635
Phone (209) 385-5481
847 W Childs Ave
Ste B
Merced, CA 95341
847 W Childs Ave
Merced, CA 95341
Phone (209) 383-7441
3940 Sandpiper Ave
Merced, CA 95340
Phone (209) 381-4104
737 W Childs Ave
Merced, CA 95341
Phone (209) 383-1848
797 W Childs Ave
Merced, CA 95341
Phone (209) 383-5871
1717 Las Vegas St
Modesto, CA 95358
Phone (209) 476-4200
2101 Tenaya Dr
Modesto, CA 95354
Phone (209) 576-6766
9235 E Broadway St
Planada, CA 95365
Phone (209) 382-0253
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 136340 | CA | Yes |
Addresses
Primary practice location
847 W Childs Ave Ste B
Merced, CA 95341-6862
Mailing address
737 W Childs Ave
Merced, CA 95341-6805
Phone (866) 682-4842
Other providers in Merced, CA
- Mohamed Hafez Ahmed
- Ajay R. Patel, D. D.S., Inc.
- Kary Gregory Akahori
- Akamai Medical Transport LLC
- Olatoyosi Grace Akinrotimi
- Melissa Alamilla
- James Edward Alaniz
- Dolores Alarcon
- Calbeth Alaribe
- Britani Ruthann Alatorre
All providers in Merced, CA · Pediatrics Physician in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 21, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.