Active NPI
Nagi Ibrahim MD Inc
- Internal Medicine Physician
- Oceanside, CA
National Provider Identifier
1558500777
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- A75003
- Legal business name
- NAGI IBRAHIM MD INC
- Practice address
- 2122 S El Camino Real Ste 102
Suite B
Oceanside, CA 92054-6209 - Phone
- (760) 892-4164
- Fax
- (760) 630-5599
- NPI assigned
- Feb 11, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Nagi S. Ibrahim, M.D.
- Title
- Owner/Physician
- Phone
- (762) 453-2700
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | A75003 | CA | Primary |
Addresses
Primary practice location
2122 S El Camino Real Ste 102
Suite B
Oceanside, CA 92054-6209
Mailing address
2122 S El Camino Real
Suite 102
Oceanside, CA 92054-6208
Phone (760) 453-2700
National Provider Directory
National Provider DirectoryLocations
2122 S El Camino Real
Ste 102
Oceanside, CA 92054
Phone (760) 290-8170
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- Oceanside, CA
- NPI 1174509756
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1234310400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1486425600000",
"number": "1558500777",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2122 S EL CAMINO REAL",
"address_2": "SUITE 102",
"city": "OCEANSIDE",
"state": "CA",
"postal_code": "920546208",
"telephone_number": "760-453-2700"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2122 S EL CAMINO REAL STE 102",
"address_2": "SUITE B",
"city": "OCEANSIDE",
"state": "CA",
"postal_code": "920546209",
"telephone_number": "760-892-4164",
"fax_number": "760-630-5599"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NAGI IBRAHIM MD INC",
"organizational_subpart": "NO",
"enumeration_date": "2009-02-11",
"last_updated": "2017-02-07",
"status": "A",
"authorized_official_last_name": "IBRAHIM",
"authorized_official_first_name": "NAGI",
"authorized_official_middle_name": "S.",
"authorized_official_title_or_position": "OWNER/PHYSICIAN",
"authorized_official_telephone_number": "762-453-2700",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "CA",
"license": "A75003",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Oceanside, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.