Ahmad Ibrahim

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

20A16622 Issued in CA

Practice address

24159 Magic Mountain Pkwy
Valencia, CA 91355-3904

Phone

(661) 222-9117

Fax

(888) 278-0126

NPI assigned

May 21, 2014

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

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.

• VMC Center for Regenerative Medicine Inc

  • Clinic/Center
  • Valencia, CA
  • NPI 1235935560
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1400630400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567123200000",
    "number": "1881006120",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7215",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904067215",
            "telephone_number": "661-222-9117",
            "fax_number": "888-278-0126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24159 MAGIC MOUNTAIN PKWY",
            "city": "VALENCIA",
            "state": "CA",
            "postal_code": "913553904",
            "telephone_number": "661-222-9117",
            "fax_number": "888-278-0126"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IBRAHIM",
        "first_name": "AHMAD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-05-21",
        "last_updated": "2019-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "20A16622",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ian Pearson DMD Inc.
• Claudia Ibarra
• Erika Paola Ibarra
• Regina Marie Baluyut Ibarra, PMHNP-BC
• Ibrahim Dental Corporation
• Katy Ihrig, R.N.
• Ilya Zak DDS Inc. (Dr. Zak Dental Care)
• Safia Iman
• In and Out Medical Transportation
• Insight Health Corp

• Family Medicine Physician in Valencia, CA
• Providers in Valencia, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2019; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.