1. Home
  2. Directory
  3. California
  4. La Quinta
  5. Surgery
  6. NPI Profile

SAMUEL IBRAHIM, MD, INC
NPI 1184081432
Surgery in La Quinta, CA

Active since January 18, 2016
79180 CORPORATE CENTER DR, SUITE 101, LA QUINTA, CA 92253(760) 837-7910(760) 837-7920 Get Directions Write a Review

NPPES record last updated: January 18, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Samuel Ibrahim, Md, Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SAMUEL IBRAHIM, MD, INC (NPI 1184081432) is a healthcare organization registered as a surgery in La Quinta, California and active in the NPI registry since January 2016. The organization lists Samuel Ibrahim, Owner, as its authorized official.

NPPES Registry Identity

NPI1184081432
Entity TypeOrganization
Primary Taxonomy208600000X
Legal Business NameSAMUEL IBRAHIM, MD, INC
Location Address79180 CORPORATE CENTER DR, SUITE 101La Quinta, CA 92253-7235
Mailing Address79180 Corporate Center Dr, Suite 101La Quinta, CA 92253-7235 · (760) 837-7910 · Fax (760) 837-7920
Phone(760) 837-7910
Fax(760) 837-7920
Organization SubpartNo
Authorized OfficialSamuel IbrahimOwner · (440) 241-3033
Enumeration DateJanuary 18, 2016
✔ NPI 1184081432 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in CA · A120880
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
79180 CORPORATE CENTER DR, La Quinta, CA 92253
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. SAMUEL ASSAD AMIN IBRAHIM M.D.
Surgery
79180 CORPORATE CENTER DR, STE 101
LA QUINTA, CA 92253
Riverside County (760) 837-7910
DESERT PEDIATRICS INC
Pediatrics
79180 CORPORATE CENTER DR, SUITE 103
LA QUINTA, CA 92253
Riverside County (760) 777-7300

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Samuel Ibrahim, MD, Inc's NPI number?

The NPI number for Samuel Ibrahim, MD, Inc is 1184081432. It was assigned to this organization in the NPPES registry on January 18, 2016.

Where is Samuel Ibrahim, MD, Inc located?

Samuel Ibrahim, MD, Inc is located at 79180 Corporate Center Dr Suite 101, La Quinta, CA 92253. The listed phone number is (760) 837-7910.

What is Samuel Ibrahim, MD, Inc's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

When was this NPI record last updated?

The NPPES record for Samuel Ibrahim, MD, Inc was last updated on January 18, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.