Organization Active NPI

Nagi Ibrahim MD Inc

  • Internal Medicine Physician
  • Oceanside, CA
National Provider Identifier
1558500777
Registry record updated Feb 7, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A75003 Issued in CA
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

Updated by the provider on Feb 7, 2017

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.NPI 1174509756
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)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

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.

Verify at the official NPI Registry.