NPIMap

Individual provider Active NPI

Rim Said Mohamed Ibrahim, MD

  • Psychiatry Physician
  • Pleasanton, CA
National Provider Identifier
1861552291
Registry record updated Mar 31, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
35086890 Issued in OH
Practice address
5674 Stoneridge Dr
Pleasanton, CA 94588-8500
Phone
(925) 520-0005
Fax
(925) 520-0010
NPI assigned
Dec 8, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 35086890 OH Primary

Addresses

Primary practice location

5674 Stoneridge Dr
Pleasanton, CA 94588-8500

Mailing address

5674 Stoneridge Dr
Pleasanton, CA 94588-8500
Phone (925) 520-0005

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

LicenseStateTypeSpecialty
35086890OHMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pathways to Wellness Past Accepting new patients
Pathways to Wellness Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1165536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1301529600000",
    "number": "1861552291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5674 STONERIDGE DR",
            "city": "PLEASANTON",
            "state": "CA",
            "postal_code": "945888500",
            "telephone_number": "925-520-0005",
            "fax_number": "925-520-0010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5674 STONERIDGE DR",
            "city": "PLEASANTON",
            "state": "CA",
            "postal_code": "945888500",
            "telephone_number": "925-520-0005",
            "fax_number": "925-520-0010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IBRAHIM",
        "first_name": "RIM",
        "middle_name": "SAID MOHAMED",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-08",
        "last_updated": "2011-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "OH",
            "license": "35086890",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pleasanton, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2011; 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.