NPIMap

Individual provider Active NPI

Adel Ibrahim

  • Internal Medicine Physician
  • Sacramento, CA
National Provider Identifier
1609314905
Registry record updated Jul 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
169484 Issued in CA
Practice address
6339 Mack Rd
Sacramento, CA 95823-4655
Phone
(916) 454-2345
NPI assigned
Feb 7, 2017
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 169484 CA Primary

Addresses

Primary practice location

6339 Mack Rd
Sacramento, CA 95823-4655

Mailing address

1860 Howe Ave Ste 440
Sacramento, CA 95825-1098
Phone (916) 569-8484

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210720001694 CA Practitioner - Internal Medicine 1850794447 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Kern County Hospital AuthorityGroup PAC ID 4688964521, 264 clinicians
Northbay Physicians Surgery Center, LLCGroup PAC ID 0042122244, 336 clinicians
Northbay Health Medical FoundationGroup PAC ID 3274010871, 207 clinicians

Practice addresses (Care Compare)

1111 Columbus St
Bakersfield, CA 93305-1936
Phone (661) 326-2800

421 Nut Tree Rd
Vacaville, CA 95687-3508
Phone (707) 624-7500

Hospital & facility affiliations

  • Purpose Driven Home Health, LLC Home health agency, Bakersfield, CA, CCN 059545
  • Angelcare Home Health Services, LLC Home health agency, Milpitas, CA, CCN 053162
  • Healthflex Home Health Services Home health agency, Oakland, CA, CCN 059551
  • Kern Medical Center Hospital, Bakersfield, CA, CCN 050315
  • Northbay Medical Center Hospital, Fairfield, CA, CCN 050367

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
169484CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Kern County Hospital Authority CurrentSince Apr 6, 2024 Accepting new patients
Northbay Healthcare Group Current Accepting new patients
Northbay Healthcare Group CurrentSince Jul 6, 2025 Accepting new patients
Northbay Health Medical Foundation Internal Medicine CurrentSince Jan 1, 2026 Accepting new patients
Kern County Hospital Authority CurrentSince Apr 6, 2024 Accepting new patients
Community Health Partners Past Accepting new patients
Northbay Physicians Surgery Center LLC Past Accepting new patients

Locations

416 Napa Junction Rd
Ste 140
American Canyon, CA 94503

1111 Columbus St
Bakersfield, CA 93305
Phone (661) 326-5052

1700 Mount Vernon Ave
Bakersfield, CA 93306
Phone (616) 326-2000

4520 Business Center Dr
Fairfield, CA 94534

1200 B Gale Wilson Blvd
Fairfield, CA 94533
Phone (707) 429-3600

2470 Hilborn Rd
Ste 100
Fairfield, CA 94534
Phone (707) 646-4600

1320 Travis Blvd
Ste C
Fairfield, CA 94533
Phone (707) 624-7400

4500 Business Center Dr
Fairfield, CA 94534
Phone (707) 646-4777

421 Nut Tree Rd
Vacaville, CA 95687
Phone (707) 455-3000

1000 Nut Tree Rd
Vacaville, CA 95687
Phone (707) 446-4000

1010 Nut Tree Rd
Ste 100B
Vacaville, CA 95687
Phone (707) 646-7999

101 Main St
Winters, CA 95694
Phone (530) 795-4123

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/UMZ-Uxn6V9x08sH5gCnG-5yPg9ZX7et6/

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 9

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1486425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625788800000",
    "number": "1609314905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1860 HOWE AVE STE 440",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958251098",
            "telephone_number": "916-569-8484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6339 MACK RD",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958234655",
            "telephone_number": "916-454-2345"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IBRAHIM",
        "first_name": "ADEL",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-02-07",
        "last_updated": "2021-07-09",
        "certification_date": "2021-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "169484",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sacramento, CA

Sources for this page

Verify at the official NPI Registry.