DR. IRENY I. IBRAHIM (NPI# 1811944598) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811944598 |
| Entity Type | Individual |
| Full Name | DR. IRENY I. IBRAHIM |
| Credential | MD |
| Practice Address |
1300 E Cooley Dr Colton CA 92324-3905 |
| Mailing Address |
Po Box 2200 Redlands CA 92373-0722 |
| Practice Telephone | 9093704179 |
| Practice Fax Number | 9097964158 |
| Mailing Telephone | 9097933311 |
| Mailing Fax Number | 9097964158 |
| Enumeration Date | 2006-05-28 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | A64541 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 00A645410 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154820256 | Ireny Ibrahim | Pharmacist | 1540 W Elizabeth Ave, Linden, NJ 07036-6323 | 2018-02-05 |
| Street Address |
1300 E COOLEY DR |
| City | COLTON |
| State | CA |
| Zip Code | 92324-3905 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861447195 | Fay A. Simpson | Nurse Practitioner | 1300 E Cooley Dr, Colton, CA 92324-3905 | 2006-05-24 |
| 1972052132 | Brenda Jerez-aguilar | Nurse Practitioner | 1300 E Cooley Dr, Colton, CA 92324-3905 | 2016-09-29 |
| 1497102701 | Hassan Quadri | Family Medicine | 1300 E Cooley Dr, Colton, CA 92324-3905 | 2016-05-17 |
| 1942654793 | Suchal Karkera | Family Medicine | 1300 E Cooley Dr, Colton, CA 92324-3905 | 2016-04-19 |
| 1174933279 | Kelvin Ma | Family Medicine | 1300 E Cooley Dr, Colton, CA 92324-3905 | 2014-04-29 |
| 1497194468 | Linda Kit | Optometrist | 1300 E Cooley Dr, Colton, CA 92324-3905 | 2013-06-22 |
| 1518212299 | Jennifer Lynn Jensen | Physician Assistant | 1300 E Cooley Dr, Colton, CA 92324-3905 | 2012-07-18 |
| 1710249461 | Depatment of Behavioral Health | Special Hospital | 1300 E Cooley Dr, Colton, CA 92324-3905 | 2012-06-08 |
| 1932341203 | Carlos Daniel Ramirez | General Practice | 1300 E Cooley Dr, Colton, CA 92324-3905 | 2009-04-01 |
| 1831377662 | Beaver Medical Group Lp | Non-Pharmacy Dispensing Site | 1300 E Cooley Dr, Colton, CA 92324-3905 | 2008-02-04 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134739949 | Ava Vascular | Radiology | 1281 W. C. Street, Suite 200, Colton, CA 92324 | 2020-08-06 |
| 1063042851 | Making A Difference Association, Inc. | Psychologist | 1430 E Cooley Drive, Ste 111, Colton, CA 92324 | 2020-01-21 |
| 1326685488 | Allstar Medical Respite and Recuperative Care | Case Management | 450 N Sperry Drive, Colton, CA 92324 | 2019-12-06 |
| 1558916379 | Garfield Beach Cvs LLC | Durable Medical Equipment & Medical Supplies | 1010 North Pepper Ave, Colton, CA 92324 | 2019-08-08 |
| 1326692633 | Kadi Lyn Pearce | Licensed Practical Nurse | 970 N. Latham St, Colton, CA 92324 | 2019-07-25 |
| 1184281966 | Steven Andrew Cardoza | Physician Assistant | Armc, 400 N. Pepper Ave, Colton, CA 92324 | 2019-05-28 |
| 1528540952 | Daniel Tochukwu Umah-mgborogwu | Physician Assistant | 400 N Pepper Ave, Ste 107, Coton, CA 92324 | 2018-09-01 |
| 1255826038 | Cal Med Vascular Center LLC | Clinic/Center | 1281 W C St, Colton, CA 92324 | 2018-06-25 |
| 1891288072 | A. Arroyo Lourenco Dds, Inc | Dentist | 827 W Valley Blvd., Colton, CA 92324 | 2018-06-12 |
| 1700396165 | Emily Covington | Registered Nurse | 1550 E. Washington St., Ste 101, Colton, CA 92324 | 2017-10-11 |
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| 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 |
|---|---|---|---|---|
| 1841678448 | Ramiz Alchi | Internal Medicine | 2157 Stewart St, Colton, CA 92324-7519 | 2015-05-14 |
| 1518351972 | Adegbemisola Daniyan | Internal Medicine | 1501 Violet St, Colton, CA 92324-1603 | 2015-03-24 |
| 1447644182 | Mallu Reddy, Md, Inc | Internal Medicine | 301 S La Cadena Dr, Colton, CA 92324-3419 | 2015-03-19 |
| 1699870139 | Badran Madani | Internal Medicine | 952 S Mount Vernon Ave, Suite B, Colton, CA 92324-4218 | 2006-09-13 |
| 1790782548 | Cynthia Jacildone Baltazar | Internal Medicine | 8 Gulf Rd, Colton, NY 13625-0008 | 2005-07-07 |
| 1932634805 | Amelia Lynn Henninger | Internal Medicine | 400 N Pepper Ave, Colton, CA 92324-1801 | 2017-04-27 |
| 1619400777 | Anthony Rajasingham | Internal Medicine | 400 N Pepper Ave, Colton, CA 92324-1801 | 2017-04-06 |
| 1568993665 | Daniel H Chang | Internal Medicine | 400 N Pepper Ave, Colton, CA 92324-1801 | 2017-03-21 |
| 1407395197 | Emmeline Kuo | Internal Medicine | 400 N Pepper Ave, Colton, CA 92324-1801 | 2017-02-15 |
| 1306291562 | Andrew Karas | Internal Medicine | 400 N Pepper Ave, Colton, CA 92324-1801 | 2016-04-25 |
| Find all providers in COLTON | ||||
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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.