Active NPI
Ahmad Ibrahim, M.D.
- Anatomic Pathology & Clinical Pathology Physician
- Colton, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anatomic Pathology & Clinical Pathology Physician
- License
- A146994
- Practice address
- 400 N Pepper Ave
Colton, CA 92324-1801 - Phone
- (909) 580-0010
- Fax
- (909) 580-0064
- NPI assigned
- Jun 3, 2014
- Last updated
- Jan 15, 2026
- 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 |
|---|---|---|---|---|
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | A146994 | CA | Primary |
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | 4301102347 | MI |
Addresses
Primary practice location
400 N Pepper Ave
Colton, CA 92324-1801
Mailing address
400 N Pepper Ave
Colton, CA 92324-1801
Phone (323) 442-2582
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Pathology
- Education
- Other, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
9481 Pittsburgh Ave
Suite 200
Rancho Cucamonga, CA 91730-9021
Phone (909) 655-0300
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A146994 | CA | MD | Anatomic Pathology & Clinical Pathology Physician |
| 4301102347 | MI | MD | Anatomic Pathology & Clinical Pathology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Usc Care Medical Group, Inc | Current | Accepting new patients | |
| Arrowhead Pathology Medical Group Incorporated | Anatomic Pathology & Clinical Pathology | Current | Accepting new patients |
| Platinum Digestive Health | Current | Accepting new patients | |
| Usc Care Medical Group, Inc | Anatomic Pathology & Clinical Pathology | Current | Accepting new patients |
Locations
400 N Pepper Ave
Colton, CA 92324
Phone (909) 580-1400
1100 N State St
Rm A7E
Los Angeles, CA 90033
Phone (323) 409-7154
1100 N State St
Ste A7E
Los Angeles, CA 90033
Phone (734) 660-0580
1450 San Pablo St
Rm 2401
Los Angeles, CA 90033
1520 San Pablo St
Los Angeles, CA 90033
Phone (323) 442-5849
9481 Pittsburgh Ave
Ste 200
Rch Cucamonga, CA 91730
Phone (909) 303-2260
Organizations & group practices 4
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.
-
- Gastroenterology Physician
- Rancho Cucamonga, CA
- NPI 1629537352
-
- General Practice Physician
- Los Angeles, CA
- NPI 1902846306
Anatomic Pathology & Clinical Pathology
-
- Anatomic Pathology & Clinical Pathology Physician
- Colton, CA
- NPI 1508132366
-
dba Fair Oaks Clinic
- Durable Medical Equipment & Medical Supplies
- Pasadena, CA
- NPI 1427937390
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Arrowhead Regional Medical Center
- General Acute Care Hospital
- Colton, CA
- NPI 1720158009
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1401753600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1768435200000",
"number": "1356754840",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "400 N PEPPER AVE",
"city": "COLTON",
"state": "CA",
"postal_code": "923241801",
"telephone_number": "323-442-2582"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 N PEPPER AVE",
"city": "COLTON",
"state": "CA",
"postal_code": "923241801",
"telephone_number": "909-580-0010",
"fax_number": "909-580-0064"
}
],
"practiceLocations": [],
"basic": {
"last_name": "IBRAHIM",
"first_name": "AHMAD",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-06-03",
"last_updated": "2026-01-15",
"certification_date": "2026-01-15",
"status": "A"
},
"taxonomies": [
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "CA",
"license": "A146994",
"primary": true
},
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "MI",
"license": "4301102347",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Colton, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.