Ibrahim A Ghanem, D.C

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

25696 Issued in CA

Practice address

710 S Brookhurst St Ste a
Anaheim, CA 92804-4321

Phone

(714) 533-2002

Fax

(714) 533-2902

NPI assigned

Feb 13, 2008

Last updated

Feb 13, 2008By the provider in NPPES

Sex

Male

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

Enrolled in CA

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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.

• Ibrahim Ghanem Chiropractic Inc

  dba Fountain Valley Chiropractic & Rehab Center

  • Rehabilitation Chiropractor
  • Fountain Valley, CA
  • NPI 1235471079
  Medicare reassignment Authorized official
• Anaheim Chiropractic & Medical Center

  • Chiropractor
  • Anaheim, CA
  • NPI 1265682173
  NPD Authorized official
• Abutaleb & Ghanem Chiropractic Inc.

  dba Anaheim Chiropractic & Rehab Center

  • Chiropractor
  • Anaheim, CA
  • NPI 1619209863
  Authorized official Same address or phone

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

{
    "created_epoch": "1202860800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1202860800000",
    "number": "1427226398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "710 S BROOKHURST ST STE A",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928044321",
            "telephone_number": "714-533-2002",
            "fax_number": "714-533-2902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "710 S BROOKHURST ST STE A",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928044321",
            "telephone_number": "714-533-2002",
            "fax_number": "714-533-2902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GHANEM",
        "first_name": "IBRAHIM",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "D.C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-02-13",
        "last_updated": "2008-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "25696",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jorge Luis Geronimo, DDS
• Olivia Michelle Gerry
• Stanford L. Gertler, MD
• Daniel Scott Geurin
• Jennifer Ghahyasi
• Anisha Ghanshani, MD
• Sushma R. Ghanshani, MD
• Shabnam Ghazizadeh, MD
• Ana Ghibu, D.M.D.
• Judith A Giacinto, MFT27701

• Chiropractor in Anaheim, CA
• Providers in Anaheim, CA by specialty
• Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.