HAYDAR IBRAHIM
NPI 1942959259
Student in an Organized Health Care Education/Training Program in Torrance, CA

Active since March 22, 2022PECOS EnrolledAccepts Medicare Assignment
1000 W CARSON ST, TORRANCE, CA 90502(424) 306-5400 Get Directions Write a Review

NPPES record last updated: March 22, 2022. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Haydar Ibrahim NPPES

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

HAYDAR IBRAHIM (NPI 1942959259) is an individual student in an organized health care education/training program in Torrance, California and active in the NPI registry since March 2022. He is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1942959259
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameHAYDAR IBRAHIM
Location Address1000 W CARSON STTorrance, CA 90502-2004
Mailing Address1000 W Carson St # 21Torrance, CA 90502-2004
Sole ProprietorYes
Medical School CMSOtherGraduated 2022
Enumeration DateMarch 22, 2022
NPPES CertifiedMarch 22, 2022
✔ NPI 1942959259 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
1000 W CARSON ST, Torrance, CA 90502

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Haydar Ibrahim is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5991289688
PECOS Enrollment IDI20260320000416
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Haydar Ibrahim reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Clinic/Center
1670 E 120TH ST
Los Angeles, CA 90059
  • Reassigned Medicare billing, California enrollment
  • 435 clinicians in this Medicare group
Internal Medicine
710 LAWRENCE EXPRESSWAY
Santa Clara, CA 95051
  • Reassigned Medicare billing, California enrollment
  • 20,078 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 20

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

Student in an Organized Health Care Education/Training Program
1000 W CARSON ST
TORRANCE, CA 90502
Case Management
1000 W CARSON ST
TORRANCE, CA 90502
Nurse Practitioner (Family)
1000 W CARSON ST, HEAD AND NECK BOX 6
TORRANCE, CA 90502
Student in an Organized Health Care Education/Training Program
1000 W CARSON ST
TORRANCE, CA 90502
Specialist
1000 W CARSON ST
TORRANCE, CA 90502
Registered Nurse (Infusion Therapy)
1000 W CARSON ST
TORRANCE, CA 90502
Student in an Organized Health Care Education/Training Program
1000 W CARSON ST
TORRANCE, CA 90502
Psychiatry & Neurology (Psychiatry)
1000 W CARSON ST
TORRANCE, CA 90502

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 Haydar Ibrahim's NPI number?

The NPI number for Haydar Ibrahim is 1942959259. It was assigned to this individual provider in the NPPES registry on March 22, 2022.

Where is Haydar Ibrahim located?

Haydar Ibrahim practices at 1000 W Carson St, Torrance, CA 90502. The listed phone number is (424) 306-5400.

What is Haydar Ibrahim's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Haydar Ibrahim enrolled in Medicare?

Yes. Haydar Ibrahim is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Haydar Ibrahim's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Haydar Ibrahim reassigns Medicare benefits to 2 organizations: County Of Los Angeles (Los Angeles, CA) and Permanente Medical Group Inc (Santa Clara, CA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Haydar Ibrahim's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Haydar Ibrahim was last updated on March 22, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.