MICHAEL MAMDOUH AZIZ IBRAHIM (NPI# 1811200215) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811200215 |
| Entity Type | Individual |
| Full Name | MICHAEL MAMDOUH AZIZ IBRAHIM |
| Practice Address |
34420 Yucaipa Blvd Yucaipa CA 92399-2412 |
| Mailing Address |
1400 Barton Rd Apt 2713 Redlands CA 92373-5443 |
| Practice Telephone | 9097971312 |
| Practice Fax Number | 9097973158 |
| Mailing Telephone | 9097971312 |
| Mailing Fax Number | 9097973158 |
| Enumeration Date | 2010-07-14 |
| Last Update Date | 2010-07-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 63426 | CA | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407353626 | Michael E Ibrahim | Pharmacist | 1290 West Bay Drive, Largo, FL 33770 | 2018-04-13 |
| 1528443041 | Michael Ibrahim | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 3701 Chestnut St Apt 410, Philadelphia, PA 19104-3104 | 2015-07-27 |
| 1588120372 | Michael Ibrahim | Pharmacist | 2019 Gulf To Bay Blvd, Clearwater, FL 33765-3703 | 2019-02-16 |
| 1528565157 | Michael Ibrahim | Student in an Organized Health Care Education/Training Program | 1000 W Carson St, Torrance, CA 90502-2004 | 2018-04-10 |
| 1194188466 | Michael Ibrahim | Student in an Organized Health Care Education/Training Program | 1945 State Route 33, Neptune, NJ 07753-4859 | 2016-04-03 |
| 1609242809 | Michael Shoukry S Ibrahim | Anesthesiology | 655 W 8th St, Jacksonville, FL 32209-6511 | 2015-08-11 |
| Street Address |
34420 YUCAIPA BLVD |
| City | YUCAIPA |
| State | CA |
| Zip Code | 92399-2412 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578810891 | Janet Tsai | Pharmacist | 34420 Yucaipa Blvd, Yucaipa, CA 92399-2412 | 2012-08-06 |
| 1437443496 | Emilie Santos Powell | Pharmacist | 34420 Yucaipa Blvd, Yucaipa, CA 92399-2412 | 2011-06-07 |
| 1700199676 | Esther Moura | Pharmacist | 34420 Yucaipa Blvd, Yucaipa, CA 92399-2412 | 2010-07-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891301941 | Emily Ambrosi | Occupational Therapist | 12257 Tulip Ln, Yucaipa, CA 92399 | 2020-09-23 |
| 1952943524 | Terrence Williams | Behavioral Analyst | 13768 Meadow View Lane, Yucaipa, CA 92399 | 2019-10-15 |
| 1235795097 | Han Acu&herbs, Inc | Acupuncturist | 32387 Yucaipa Blvd, Ste, F, Yucaipa, CA 92399 | 2019-05-16 |
| 1366926784 | David Gene Satre | Psychologist | 31752 Dove Ct, Yucaipa, CA 92399 | 2018-09-21 |
| 1336659861 | Titianna Little | Physical Therapist | 32819 Yucaipa Boulevard #3, Yucaipa, CA 92399 | 2017-10-11 |
| 1174043467 | Sharon Lee Pendola | Licensed Vocational Nurse | 11885 4th St, Yucaipa, CA 92399 | 2017-06-27 |
| 1073033072 | Juniper Manor, LLC | Skilled Nursing Facility | 35223 Juniper Avenue, Yucaipa, CA 92399 | 2017-06-21 |
| 1952858417 | Rafael Arias | Non-emergency Medical Transport (VAN) | 12386 17th St, Yucaipa, CA 92399 | 2016-09-01 |
| 1578906467 | Joyce I Bandele | Durable Medical Equipment & Medical Supplies | 34664 County Line Rd Suite 14, Yucaipa, CA 92399 | 2013-04-10 |
| 1033475108 | Loleta Michelle Gustafson | Marriage & Family Therapist | 34455 Yucaipa Blvd Ste 206, Yucaipa, CA 92399 | 2012-04-03 |
| Find all providers in zip 92399 | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356732127 | Salan So Thong | Pharmacist | 33490 Oak Glen Rd Ste E, Yucaipa, CA 92399-2095 | 2015-02-13 |
| 1053713412 | Kofi N Donkor | Pharmacist | 34098 Lily Rd, Yucaipa, CA 92399-2291 | 2014-09-17 |
| 1063825271 | Wai Tai Wong | Pharmacist | 33733 Yucaipa Blvd Ste 1, Yucaipa, CA 92399-2256 | 2014-06-05 |
| 1770819138 | Leon Jay Darling | Pharmacist | 11352 Bryant St, Yucaipa, CA 92399-3121 | 2009-10-20 |
| 1295955136 | Bhavesh Desai | Pharmacist | 12112 4th St, Yucaipa, CA 92399-4117 | 2007-04-25 |
| 1720106727 | Khalid H Mahfouz | Pharmacist | 34875 Maplewood Ln, Yucaipa, CA 92399-6841 | 2007-03-27 |
| 1073647541 | Lawrence Bray Larson | Pharmacist | 12390 Cambria Dr, Yucaipa, CA 92399-1970 | 2007-03-15 |
| 1154975837 | Florin Gabriel Moldovan | Pharmacist | 33499 Yucaipa Blvd, Yucaipa, CA 92399-2064 | 2019-07-30 |
| 1568951747 | Edith Nagy | Pharmacist | 33499 Yucaipa Blvd, Yucaipa, CA 92399-2064 | 2018-05-03 |
| 1093257909 | Syeda A Gauhar | Pharmacist | 34503 Yucaipa Blvd, Yucaipa, CA 92399-4129 | 2016-11-08 |
| Find all providers in YUCAIPA | ||||
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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.