Organization Active NPI

Sandy Ibrahim DMD Ms Inc

Doing business as Advanced Dental Care

  • Dental Clinic/Center
  • Rialto, CA
National Provider Identifier
1568269074
Registry record updated May 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
SANDY IBRAHIM DMD MS INC
Doing business as
Advanced Dental Care
Advance Dental Care
Practice address
1727 N Riverside Ave
Rialto, CA 92376-8062
Phone
(909) 961-2068
NPI assigned
Mar 3, 2025
Last updated
May 22, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 22, 2025

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

Authorized official

Name
Dr. Sandy N. Ibrahim, DMD MSNPI 1407372550
Title
Dentist/Owner
Phone
(626) 893-1053

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
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

1727 N Riverside Ave
Rialto, CA 92376-8062

Mailing address

1727 N Riverside Ave
Rialto, CA 92376-8062
Phone (909) 961-2068

Other practice location 1

275 S Rosemead Blvd
Pasadena, CA 91107-4942
Phone (626) 577-5624

Other names 2

  • ADVANCED DENTAL CARE Doing business as
  • Advance Dental Care Doing business as

National Provider Directory

National Provider Directory

Locations

275 S Rosemead Blvd
Pasadena, CA 91107
Phone (626) 577-5624

1727 N Riverside Ave
Rialto, CA 92376
Phone (909) 820-9413

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1740960000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747872000000",
    "number": "1568269074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1727 N RIVERSIDE AVE",
            "city": "RIALTO",
            "state": "CA",
            "postal_code": "923768062",
            "telephone_number": "909-961-2068"
        },
        {
            "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"
        }
    ],
    "basic": {
        "organization_name": "SANDY IBRAHIM DMD MS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-03",
        "last_updated": "2025-05-22",
        "certification_date": "2025-05-22",
        "status": "A",
        "authorized_official_last_name": "IBRAHIM",
        "authorized_official_first_name": "SANDY",
        "authorized_official_middle_name": "N.",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "626-893-1053",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD MS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ADVANCED DENTAL CARE",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Advance Dental Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Rialto, CA

Sources for this page

  • 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.