NAGI IBRAHIM MD INC (NPI# 1558500777) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558500777 |
| Entity Type | Organization |
| Organization Name | NAGI IBRAHIM MD INC |
| Practice Address |
2122 S El Camino Real Ste 102 Suite B Oceanside CA 92054-6209 |
| Mailing Address |
2122 S El Camino Real Suite 102 Oceanside CA 92054-6208 |
| Practice Telephone | 7608924164 |
| Practice Fax Number | 7606305599 |
| Mailing Telephone | 7604532700 |
| Enumeration Date | 2009-02-11 |
| Last Update Date | 2017-02-07 |
| Authorized Official Name | DR. NAGI S. IBRAHIM (OWNER/PHYSICIAN) |
| Authorized Official Telephone | 7624532700 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | A75003 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
2122 S EL CAMINO REAL STE 102 SUITE B |
| City | OCEANSIDE |
| State | CA |
| Zip Code | 92054-6209 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073114179 | Karina Elizabeth Hernandez | Specialist/Technologist, Other | 2122 S El Camino Real Ste 102, Oceanside, CA 92054-6209 | 2020-11-04 |
| 1952901613 | Valerie Gonzalez | Specialist/Technologist | 2122 S El Camino Real Ste 102, Oceanside, CA 92054-6209 | 2020-10-30 |
| 1053950006 | Jonathan Mcclellan | Counselor | 2122 S El Camino Real Ste 102, Oceanside, CA 92054-6209 | 2019-12-22 |
| 1164066163 | Luis Alejandro Ulloa | Peer Specialist | 2122 S El Camino Real Ste 102, Oceanside, CA 92054-6209 | 2019-11-01 |
| 1144876889 | Blaize Parise Ramirez | Counselor | 2122 S El Camino Real Ste 102, Oceanside, CA 92054-6209 | 2019-08-16 |
| 1417427329 | Julie Vasquez | Case Manager/Care Coordinator | 2122 S El Camino Real Ste 102, Oceanside, CA 92054-6209 | 2018-12-04 |
| 1023585205 | Sylvia M Raslan | Case Manager/Care Coordinator | 2122 S El Camino Real Ste 102, Oceanside, CA 92054-6209 | 2018-10-25 |
| 1518453497 | Sally Talafaia Moimoi | Peer Specialist | 2122 S El Camino Real Ste 102, Oceanside, CA 92054 | 2018-07-03 |
| 1295227031 | Derek Scott Jensen | Counselor | 2122 S El Camino Real Ste 102, Oceanside, CA 92054-6209 | 2018-06-06 |
| 1629570841 | Marisela Kuan | Case Manager/Care Coordinator | 2122 S El Camino Real Ste 102, Oceanside, CA 92054 | 2018-03-03 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497369987 | Crownview Telehealth Instiute LLC | Community/Behavioral Health | 315 North Clementine Street, Oceanside, CA 92054 | 2020-09-02 |
| 1992353585 | Janell Katherine Dulaney | Student in an Organized Health Care Education/Training Program | 738 S Tremont St, Oceanside, CA 92054 | 2019-08-28 |
| 1295201986 | North County Psychology Apc | Clinical Neuropsychologist | 2204 S. El Camino Real, #305, Oceanside, CA 92054 | 2018-10-19 |
| 1437638947 | Amy Joanne Buckner | Student in an Organized Health Care Education/Training Program | 2204 S El Camino Real Ste 102, Oceanside, CA 92054 | 2018-08-07 |
| 1285112458 | Alique Bedikian | Counselor | 1100 Sportfisher Dr, Oceanside, Oceanside, CA 92054 | 2018-07-31 |
| 1053809244 | Thrive Medical Specialists, A Professional Corporation | Physical Medicine & Rehabilitation | 322 N Nevada St., Oceanside, CA 92054 | 2018-04-24 |
| 1982133377 | Maegan Casanova | Psychologist | 1213 Herby Way, Oceanside, CA 92054 | 2017-06-08 |
| 1588109466 | Ryan Purvis | Counselor | 2812 Oceanside Blvd, Oceanside, CA 92054 | 2016-12-30 |
| 1629512595 | Ahi Vein and Vascular Specialists Inc A Professional Medical Corp | Clinic/Center | 2125 South El Camino Real, Suite 210, Oceanside, CA 92054 | 2016-12-13 |
| 1437531175 | Ginger Burleson | Counselor | 1110 Sportfisher Drive, Oceanside, CA 92054 | 2015-06-18 |
| Find all providers in zip 92054 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265871693 | Emory Smith Winship Viii | Internal Medicine | Naval Hospital Camp Pendleton Internal Medicine Clinic, 200 Mercy Circle, Oceanside, CA 92055 | 2013-06-19 |
| 1790035673 | Robert Eli Resnick | Internal Medicine | 35 Patten Ave, Oceanside, NY 11572-1025 | 2012-09-18 |
| 1922234004 | Sanaa Saher Mithaiwala | Internal Medicine | 3091 Nassau Rd, Oceanside, NY 11572-3000 | 2009-06-03 |
| 1518100148 | Ryan Alan Smith | Internal Medicine | 3998 Vista Way Ste 200, Oceanside, CA 92056-4519 | 2009-04-13 |
| 1235314907 | Heather Lewis | Internal Medicine | 222 Cottonwood St N, Oceanside, CA 92058-6641 | 2007-12-31 |
| 1073705695 | Mes Medical Consultingpc | Internal Medicine | 97 Elaine Dr, Oceanside, NY 11572-5708 | 2007-08-16 |
| 1225126600 | Anitha Rajamanickam | Internal Medicine | 3230 Waring Ct Ste O, Oceanside, CA 92056-4509 | 2006-10-10 |
| 1437252665 | Glenn John Macdonald | Internal Medicine | 26 Davison Ave, Oceanside, NY 11572-2237 | 2006-09-06 |
| 1407871817 | Denise Gomez | Internal Medicine | 605 Crouch St Bldg C, Oceanside, CA 92054-4415 | 2006-07-13 |
| 1215915145 | Timothy Mailloux | Internal Medicine | 2380 Rockville Centre Pkwy, Oceanside, NY 11572-1621 | 2005-12-30 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.