Sandy N Ibrahim, DMD, MS

Primary specialty

DentistTaxonomy code 122300000X

License

DDS101828 Issued in CA

Practice address

1727 N Riverside Ave
Rialto, CA 92376-8062

Phone

(909) 961-2068

NPI assigned

Aug 21, 2017

Last updated

May 22, 2025By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

Locations

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.

• Sandy Ibrahim DMD Ms Inc

  dba Advanced Dental Care

  • Dental Clinic/Center
  • Rialto, CA
  • NPI 1568269074
  NPD Authorized official
• David C. Jen, DDS, Inc., a Dental Corporation

  dba Sunrise Dental Center

  • Endodontics
  • Rialto, CA
  • NPI 1508264326
  NPD

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

{
    "created_epoch": "1503273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747872000000",
    "number": "1407372550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1883 RANCHO TUJUNGA DR",
            "city": "COVINA",
            "state": "CA",
            "postal_code": "917243546",
            "telephone_number": "626-893-1053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1727 N RIVERSIDE AVE",
            "city": "RIALTO",
            "state": "CA",
            "postal_code": "923768062",
            "telephone_number": "909-961-2068"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "275 S Rosemead Blvd",
            "address_purpose": "LOCATION",
            "city": "Pasadena",
            "state": "CA",
            "postal_code": "911074942",
            "country_code": "US",
            "telephone_number": "626-577-5624",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "14311 Ramona Blvd",
            "address_purpose": "LOCATION",
            "city": "Baldwin Park",
            "state": "CA",
            "postal_code": "917063242",
            "country_code": "US",
            "telephone_number": "626-893-1053",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "IBRAHIM",
        "first_name": "SANDY",
        "middle_name": "N",
        "name_prefix": "Dr.",
        "credential": "DMD, MS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-08-21",
        "last_updated": "2025-05-22",
        "certification_date": "2025-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "DDS101828",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "DDS1010828",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Dentist in Rialto, CA
• Providers in Rialto, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2025; 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.