Ibrahimi Medical Inc

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

A128575 Issued in CA

Legal business name

IBRAHIMI MEDICAL INC

Practice address

1081 Market PL Ste 500
San Ramon, CA 94583-4750

Phone

(925) 365-7337

Fax

(925) 522-4372

NPI assigned

Sep 12, 2017

Last updated

Apr 17, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Ibrahimi Waheed, MD

Title

Owner

Phone

(510) 512-0533

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Waheed Said Ibrahimi, MD

  • Internal Medicine Physician
  • San Ramon, CA
  • NPI 1174716583
  Medicare reassignment NPD
• Kiran Kaur Sekhon, PA-C

  • Physician Assistant
  • Modesto, CA
  • NPI 1548074727
  Medicare reassignment

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

{
    "created_epoch": "1505174400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1681689600000",
    "number": "1902325707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4847 HOPYARD RD STE 4-411",
            "city": "PLEASANTON",
            "state": "CA",
            "postal_code": "945883360",
            "telephone_number": "669-235-4188",
            "fax_number": "669-235-4221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1081 MARKET PL STE 500",
            "city": "SAN RAMON",
            "state": "CA",
            "postal_code": "945834750",
            "telephone_number": "925-365-7337",
            "fax_number": "925-522-4372"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "175 N Jackson Ave Ste 202",
            "address_purpose": "LOCATION",
            "city": "San Jose",
            "state": "CA",
            "postal_code": "951161909",
            "country_code": "US",
            "telephone_number": "925-365-7337",
            "fax_number": "925-522-4372",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "IBRAHIMI MEDICAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-12",
        "last_updated": "2023-04-17",
        "certification_date": "2023-04-17",
        "status": "A",
        "authorized_official_last_name": "WAHEED",
        "authorized_official_first_name": "IBRAHIMI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "510-512-0533",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A128575",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CA - LICENSE",
            "identifier": "A128575",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alyssa Samantha Hunter
• Wen Yi Huo
• James Wilson Hurley
• Keristy Huyhn
• Thao Tien Huynh
• Waheed Said Ibrahimi, MD
• James Ichiuji, DDS
• John Ichiuji, DDS
• Audreyandra Lucia Imansjah, DO
• Mira Imperial

• Internal Medicine Physician in San Ramon, CA
• Providers in San Ramon, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.