Individual provider Active NPI

Said M Ibrahimi, MD

  • Neurology Physician
  • San Jose, CA
National Provider Identifier
1376751321
Registry record updated Oct 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
A13381 Issued in CA
Practice address
175 N Jackson Ave Ste 202
San Jose, CA 95116-1909
Phone
(669) 235-4188
Fax
(669) 235-4221
NPI assigned
May 21, 2007
Last updated
Oct 7, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2024

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X A13381 CA Primary
Neurology Physician 2084N0400X 01068365A IN
Neurology Physician 2084N0400X 0101247258 VA
Neurology Physician 2084N0400X 43362 AZ
Neurology Physician 2084N0400X A133381 CA
Interventional Pain Medicine Physician 208VP0014X 43362 AZ

Addresses

Primary practice location

175 N Jackson Ave Ste 202
San Jose, CA 95116-1909

Mailing address

4847 Hopyard Rd
Ste 4- 387
Pleasanton, CA 94588-3360
Phone (669) 235-4188

Other practice location 1

1081 Market Pl Ste 500
San Ramon, CA 94583-4750
Phone (669) 235-4188

Other practice location 2

3155 Kearney St Ste 100
Fremont, CA 94538-2268
Phone (669) 235-4188

Other practice location 3

555 University Ave Ste 230
Sacramento, CA 95825-6505
Phone (669) 235-4188

Other practice location 4

27171 Calaroga Ave Ste 1
Hayward, CA 94545-4344
Phone (669) 235-4188

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150505001892 CA Practitioner - Neurology 0648302992 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3155 Kearney St
Suite 100
Fremont, CA 94538-2268
Phone (669) 235-4188

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as individual
Quality
90
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A133381CAMDNeurology Physician
A13381CAMDNeurology Physician
01068365AINMDNeurology Physician
0101247258VAMDNeurology Physician
43362AZMDInterventional Pain Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Bridge Medical Consultants Inc Neurology CurrentSince Mar 1, 2015 Accepting new patients
County of Santa Clara Interventional Pain Medicine Past Accepting new patients
El Camino Hospital Interventional Pain Medicine Past Accepting new patients
West Coast Veins and Vascular Inc Past Accepting new patients
St. Mary's Good Samaritan Hospital, Inc. Interventional Pain Medicine Past Accepting new patients
El Camino Hospital Interventional Pain Medicine Past Accepting new patients
Karima Medical, LLC Neurology PastSince Nov 16, 2012 Accepting new patients
Northwest Hospital LLC Interventional Pain Medicine Past Accepting new patients
Pih Health Good Samaritan Hospital Interventional Pain Medicine Past Accepting new patients
Seton Medical Center Past Accepting new patients
Oro Valley Hospital LLC Interventional Pain Medicine Past Accepting new patients

Locations

1241 E Hillsdale Blvd
Foster City, CA 94404
Phone (650) 389-9383

3155 Kearney St
Ste 100
Fremont, CA 94538
Phone (669) 235-4188

27171 Calaroga Ave
Hayward, CA 94545
Phone (669) 235-4188

27171 Calaroga Ave
Ste 1
Hayward, CA 94545
Phone (669) 235-4188

27171 Calaroga Ave
Ste 2
Hayward, CA 94545

4847 Hopyard Rd
#4387
Pleasanton, CA 94588

4847 Hopyard Rd
Ste 4
Pleasanton, CA 94588

4847 Hopyard Rd
Ste 4387
Pleasanton, CA 94588

555 University Ave
Ste 230
Sacramento, CA 95825
Phone (669) 235-4188

175 N Jackson Ave
Ste 202
San Jose, CA 95116
Phone (669) 235-4188

175 N Jackson Ave
Ste 209
San Jose, CA 95116
Phone (408) 210-0304

1081 Market Pl
Ste 500
San Ramon, CA 94583
Phone (669) 235-4188

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 11

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1179705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728259200000",
    "number": "1376751321",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4847 HOPYARD RD",
            "address_2": "STE 4- 387",
            "city": "PLEASANTON",
            "state": "CA",
            "postal_code": "945883360",
            "telephone_number": "669-235-4188",
            "fax_number": "669-235-4221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 N JACKSON AVE STE 202",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951161909",
            "telephone_number": "669-235-4188",
            "fax_number": "669-235-4221"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1081 Market Pl Ste 500",
            "address_purpose": "LOCATION",
            "city": "San Ramon",
            "state": "CA",
            "postal_code": "945834750",
            "country_code": "US",
            "telephone_number": "669-235-4188",
            "fax_number": "669-235-4221",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3155 Kearney St Ste 100",
            "address_purpose": "LOCATION",
            "city": "Fremont",
            "state": "CA",
            "postal_code": "945382268",
            "country_code": "US",
            "telephone_number": "669-235-4188",
            "fax_number": "669-235-4221",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "555 University Ave Ste 230",
            "address_purpose": "LOCATION",
            "city": "Sacramento",
            "state": "CA",
            "postal_code": "958256505",
            "country_code": "US",
            "telephone_number": "669-235-4188",
            "fax_number": "669-235-4221",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "27171 Calaroga Ave Ste 1",
            "address_purpose": "LOCATION",
            "city": "Hayward",
            "state": "CA",
            "postal_code": "945454344",
            "country_code": "US",
            "telephone_number": "669-235-4188",
            "fax_number": "669-235-4221",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "IBRAHIMI",
        "first_name": "SAID",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-21",
        "last_updated": "2024-10-07",
        "certification_date": "2024-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "CA",
            "license": "A13381",
            "primary": true
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "IN",
            "license": "01068365A",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "VA",
            "license": "0101247258",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "AZ",
            "license": "43362",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "CA",
            "license": "A133381",
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "AZ",
            "license": "43362",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Jose, CA

Sources for this page

Verify at the official NPI Registry.