Said Ali Ibrahimi, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

A129171 Issued in CA

Practice address

4155 Blackhawk Plaza Cir Ste 240
Danville, CA 94506-4613

Phone

(925) 648-2650

Fax

(925) 648-2530

NPI assigned

Aug 20, 2011

Last updated

Feb 27, 2023By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 6

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Psychiatry

Education

Other, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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.

• Vortex Psychiatry, Inc.

  • Psychiatry Physician
  • Danville, CA
  • NPI 1083088652

  Single Specialty

  Medicare reassignment NPD Authorized official
• TMS Interventions and Clinical Specialties Inc.

  dba Blackhawk TMS

  • Psychiatry Physician
  • Danville, CA
  • NPI 1720600216

  Single Specialty

  NPD (past) Authorized official

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

{
    "created_epoch": "1313798400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677456000000",
    "number": "1740560861",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4155 BLACKHAWK PLAZA CIR STE 240",
            "city": "DANVILLE",
            "state": "CA",
            "postal_code": "945064613",
            "telephone_number": "925-648-2650",
            "fax_number": "925-648-2530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4155 BLACKHAWK PLAZA CIR STE 240",
            "city": "DANVILLE",
            "state": "CA",
            "postal_code": "945064613",
            "telephone_number": "925-648-2650",
            "fax_number": "925-648-2530"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2085 Elderberry Dr",
            "address_purpose": "LOCATION",
            "city": "San Ramon",
            "state": "CA",
            "postal_code": "945825391",
            "country_code": "US",
            "telephone_number": "518-334-0007",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "IBRAHIMI",
        "first_name": "SAID",
        "middle_name": "ALI",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-08-20",
        "last_updated": "2023-02-27",
        "certification_date": "2022-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "CA",
            "license": "A129171",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "A129171",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VA LICENSE",
            "identifier": "0101257588",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TX LICENSE",
            "identifier": "U1038",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NY LICENSE",
            "identifier": "262206",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CA LICENSE",
            "identifier": "A129171",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SUBOXONE PROSCRIBER",
            "identifier": "XI2789141",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AZ LICENSE",
            "identifier": "46087",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sharon Huppe, L.AC.
• Israel Hurtado Perez
• McKenna Huynh
• Carol Iantuono, M.F.T.
• Nesreen Khalil Helmy Ibrahim
• Jacob Alexander Illish
• Justin Inbar
• Jessica N Isaly, CCP
• Marianne Nagui Anwar Iskandar
• J. Kirk Hartman, M.D.

• Psychiatry Physician in Danville, CA
• Providers in Danville, CA by specialty
• Psychiatry Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.