DR. SANDY N IBRAHIM (NPI# 1407372550) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407372550 |
| Entity Type | Individual |
| Full Name | DR. SANDY N IBRAHIM |
| Credential | DMD, MS |
| Practice Address |
12223 Highland Ave Rancho Cucamonga CA 91739-2574 |
| Mailing Address |
1883 Rancho Tujunga Dr Covina CA 91724-3546 |
| Practice Telephone | 9094637890 |
| Enumeration Date | 2017-08-21 |
| Last Update Date | 2017-12-05 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | DDS101828 | CA | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | DDS1010828 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073085304 | Sandy Ibrahim | Counselor | 100 Metroplex Dr, Edison, NJ 08817-2684 | 2018-12-27 |
| 1437299658 | Sandy F Ibrahim | Family Medicine | 3580 Joseph Siewick Dr Ste 306, Fairfax, VA 22033-1764 | 2007-02-07 |
| Street Address |
12223 HIGHLAND AVE |
| City | RANCHO CUCAMONGA |
| State | CA |
| Zip Code | 91739-2574 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083669576 | Alicia Gamboa | Physician Assistant | 12223 Highland Ave, Rancho Cucamonga, CA 91739-2574 | 2006-05-23 |
| 1033427315 | Dr.bhagat Uppal & Shah's Morningside Dental Group | Dentist | 12223 Highland Ave, 108, Rancho Cucamonga, CA 91739-2574 | 2010-09-20 |
| 1669618062 | Christine Son | Dentist | 12223 Highland Ave, Ste 104, Rancho Cucamonga, CA 91739-2574 | 2009-01-06 |
| 1437343399 | Neka Afi Dunlap | Anesthesiology | 12223 Highland Ave, Ste 106 Unit 331, Rancho Cucamonga, CA 91739-2574 | 2007-09-04 |
| 1740498328 | Shadi Ali Qasqas | Internal Medicine | 12223 Highland Ave, Ste 106-551, Rancho Cucamonga, CA 91739-2574 | 2007-05-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699230300 | Gogo Medical Transport Inc. | Non-emergency Medical Transport (VAN) | 13269 Firestone Dr, Rancho Cucamonga, CA 91739 | 2019-02-06 |
| 1306348768 | Pakravan, Manavi & Cohen Dental Corporation | Dentist | 7210 Day Creek Blvd, Suite 110, Rancho Cucamonga, CA 91739 | 2018-03-01 |
| 1770082141 | Rajnis Jasani | Pharmacist | 7777-b Milliken Ave, Ste 100, Rancho Cucamonga, CA 91739 | 2018-02-12 |
| 1548787542 | Carla Hibet Castillo | Counselor | 7165 Etiwanda Ave, Rancho Cucamonga, CA 91739 | 2017-08-29 |
| 1598282428 | Yung Chun Chen | Dentist | 12453 Royal Oaks Dr., Montclair, CA 91739 | 2017-08-22 |
| 1508386806 | Emily Rose Marlen | Counselor | 845 E. Arrow Highway, Pomona, CA 91739 | 2017-06-27 |
| 1124384540 | Ameerah Rasheedah-bonner Mcmann | Marriage & Family Therapist | 8481 Etiwanda Avenue, Apartment G, Rancho Cucamonga, CA 91739 | 2012-04-10 |
| 1679866784 | Bodylogics Health Services Inc. | Rehabilitation Practitioner | 12730 Foothill Blvd., Unit 102, Rancho Cucamonga, CA 91739 | 2011-05-23 |
| 1801196027 | Lisa Louise Hazelwood | Psychologist | 9500 Etiwanda Ave., West Valley Detention Center, Attn: Medical Srvcs/liberty Roc, Rancho Cucamonga, CA 91739 | 2010-10-22 |
| 1700023520 | Gideon Puiyuen Kwok | Legal Medicine | 12225 Foothill Blvd #120, Rancho Cucamonga, CA 91739 | 2009-01-15 |
| Find all providers in zip 91739 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013524461 | Oluwadara Dental Corporation | Dentist | 9612 Foothill Blvd Ste 100&105, Rancho Cucamonga, CA 91730-3547 | 2020-09-29 |
| 1316552391 | Valery Saikaly | Dentist | 13714 Smokestone St, Rancho Cucamonga, CA 91739-2078 | 2020-09-15 |
| 1982218947 | Lidya Khalil | Dentist | 11687 Mount Waverly Ct, Rancho Cucamonga, CA 91737-7904 | 2020-09-06 |
| 1396355301 | Raniya Ibrahim A Jamal Aldeen | Dentist | 7950 Etiwanda Ave Apt 8207, Rancho Cucamonga, CA 91739-8711 | 2020-08-04 |
| 1851918866 | Luis Alfredo Velazquez, D.d.s. Inc. | Dentist | 8977 Foothill Blvd Ste F, Rancho Cucamonga, CA 91730-3498 | 2020-06-26 |
| 1871053348 | B. Deirmenjian, Dds, Inc | Dentist | 8463 Haven Ave, Rancho Cucamonga, CA 91730-3845 | 2019-03-21 |
| 1316402027 | Sarah Gebrail | Dentist | 9451 Stoneybrock Pl, Rancho Cucamonga, CA 91730-7970 | 2019-02-06 |
| 1306348768 | Pakravan, Manavi & Cohen Dental Corporation | Dentist | 7210 Day Creek Blvd, Suite 110, Rancho Cucamonga, CA 91739 | 2018-03-01 |
| 1669843496 | Enrique Lewin | Dentist | 7890 Haven Ave. Ste 3, Rancho Cucamonga, CA 91730-0961 | 2015-10-20 |
| 1598141137 | Alexander Moqattash | Dentist | 9950 Foothill Blvd Ste T, Rancho Cucamonga, CA 91730 | 2015-08-05 |
| Find all providers in RANCHO CUCAMONGA | ||||
| City | RANCHO CUCAMONGA |
| Zip Code | 91739 |
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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.