Active NPI
Aziz Ibrahim, MD
- Pediatrics Physician
- Paramount, CA
National Provider Identifier
1811930928
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- C165562
- Practice address
- 15717 Paramount Blvd.
Paramount, CA 90723-4332 - Phone
- (562) 531-2231
- Fax
- (562) 231-8845
- NPI assigned
- Jun 14, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | C-6980 | AR | |
| Pediatrics Physician | 208000000X | C165562 | CA | Primary |
Addresses
Primary practice location
15717 Paramount Blvd.
Paramount, CA 90723-4332
Mailing address
15717 Paramount Blvd.
Paramount, CA 90723-4332
Phone (562) 531-2231
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1220100 | Other | AR | UHC |
| 112324001 | Medicaid | AR | |
| 295064 | Other | AR | HEALTHLINK |
| 4207531 | Other | AR | AETNA |
| 50360 | Other | AR | BLUE CROSS |
| 11193000040 | Other | AR | QUALCHOICE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C-6980 | AR | MD | Pediatrics Physician |
| C165562 | CA | MD | Pediatrics Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150243200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1588032000000",
"number": "1811930928",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15717 PARAMOUNT BLVD.",
"city": "PARAMOUNT",
"state": "CA",
"postal_code": "907234332",
"telephone_number": "562-531-2231",
"fax_number": "562-231-8845"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15717 PARAMOUNT BLVD.",
"city": "PARAMOUNT",
"state": "CA",
"postal_code": "907234332",
"telephone_number": "562-531-2231",
"fax_number": "562-231-8845"
}
],
"practiceLocations": [],
"basic": {
"last_name": "IBRAHIM",
"first_name": "AZIZ",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-14",
"last_updated": "2020-04-28",
"certification_date": "2020-04-28",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "AR",
"license": "C-6980",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "CA",
"license": "C165562",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UHC",
"identifier": "1220100",
"state": "AR"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "112324001",
"state": "AR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHLINK",
"identifier": "295064",
"state": "AR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "4207531",
"state": "AR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "50360",
"state": "AR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "QUALCHOICE",
"identifier": "11193000040",
"state": "AR"
}
],
"endpoints": [],
"other_names": []
}Other providers in Paramount, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.