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Dr. Taylor Danni Ibrahim , DO

General Practice β€’ Ridgecrest, CA

Active NPI 1093575391 Individual Practitioner Female Practitioner
Practice location in NPPES

1 Administration Cir
Ridgecrest, CA 935556104

Call 7609398030 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

1 Administration Cir

Ridgecrest, CA 935556104

Telephone 7609398030
Organization at the Same NPPES Address or Phone
Branch Medical Clinic China Lake Facility NPI 1023212677

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Industry payments (Open Payments)

No Open Payments records are listed for this clinician for 2019–2025.

Guide: How to read an Open Payments record

NPI first issued

2024

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Ridgecrest and California

1 active clinicians are listed under General Practice with a practice address in Ridgecrest, CA (1,963 in California).

Addresses are self-reported to NPPES and may be out of date.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2026-01-20
General Practice Primary Specialty

NUCC Taxonomy Code: 208D00000X

License # reported to NPPES VA 0102209832

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Medical Board of California.
Look Up on State Board Site

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

2 listed
NPI 1417625211

Doctor of Dental Surgery

Emily Marlow , FNP

Nurse Practitioner - Family

NPI 1073254959

Family Nurse Practitioner

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

9 Historical Events
πŸ“
Updated Practice Location January 20, 2026

Registered at 1 ADMINISTRATION CIR, RIDGECREST, CA 935556104 (Tel: 7609398030)

πŸ“
Updated Business Mailing Address January 20, 2026

Registered at 1 ADMINISTRATION CIR, RIDGECREST, CA 935556104 (Tel: 7609398030)

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) January 20, 2026

General Practice (license number reported to NPPES: VA 0102209832)

βœ…
NPI Profile Active March 21, 2024

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) March 21, 2024

Registered at 34800 BOB WILSON DR, SAN DIEGO, CA 921341098 (Tel: 6195325761)

πŸ“
Business Mailing Address (Initial Record) March 21, 2024

Registered at 34800 BOB WILSON DR, SAN DIEGO, CA 921341098 (Tel: 6195325761)

πŸ‘€
Provider Name / Credentials (Initial Record) March 21, 2024

Recorded as TAYLOR IBRAHIM, DO

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) March 21, 2024

Military Health Care Provider

🟒
Initial NPI Registration & Enumeration March 21, 2024

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1093575391
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 21, 2024
Last Update: January 20, 2026
Sole Proprietor: No

Mailing Address

1 Administration Cir

Ridgecrest, CA 935556104

Phone: 7609398030

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.