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CHRISTINE IBRAHIM M.D.
NPI 1487895280
General Practice in Los Angeles, CA

Active since March 09, 2009Opted out of Medicare · through Apr 16, 2028
9911 W PICO BLVD STE 200, LOS ANGELES, CA 90035(310) 551-2612(310) 909-8848 Get Directions Write a Review

NPPES record last updated: March 9, 2009. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Christine Ibrahim M.d. NPPES

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

CHRISTINE IBRAHIM M.D. (NPI 1487895280) is an individual general practice provider in Los Angeles, California, licensed in California (A87619) and active in the NPI registry since March 2009. She has opted out of Medicare through April 16, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1487895280
Entity TypeIndividualFemale
Primary Taxonomy208D00000X
Provider Legal NameCHRISTINE IBRAHIMCredential: M.D.
Location Address9911 W PICO BLVD STE 200Los Angeles, CA 90035-2736
Mailing Address9911 W Pico Blvd Ste 200Los Angeles, CA 90035-2736 · (310) 551-2612 · Fax (310) 909-8848
Phone(310) 551-2612
Fax(310) 909-8848
Sole ProprietorYes
Enumeration DateMarch 9, 2009
✔ NPI 1487895280 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License✔ Licensed in CA · A87619
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
9911 W PICO BLVD STE 200, Los Angeles, CA 90035
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

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Opted out of Medicare

Christine Ibrahim M.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from April 16, 2026 through April 16, 2028.

Opt-Out Effective DateApril 16, 2026
Opt-Out In Effect ThroughApril 16, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

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 Christine Ibrahim's NPI number?

The NPI number for Christine Ibrahim is 1487895280. It was assigned to this individual provider in the NPPES registry on March 9, 2009.

Where is Christine Ibrahim located?

Christine Ibrahim practices at 9911 W Pico Blvd Ste 200, Los Angeles, CA 90035. The listed phone number is (310) 551-2612.

What is Christine Ibrahim's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Christine Ibrahim enrolled in Medicare?

No. Christine Ibrahim has opted out of Medicare through April 16, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Christine Ibrahim was last updated on March 9, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.