Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Maryanne Rose Ibrahim, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1053846790

Maryanne Rose Ibrahim, MD is an Internal Medicine in Fountain Valley, California. Graduated from University of California, Geffen School of Medicine in 2017, 9 years ago. Practices with Memorialcare Medical Foundation, a 562-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
9
Trained at
University of California, Geffen School of Medicine
Licensed in
CA
In the registry since
2017
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

17360 Brookhurst St
Fountain Valley, CA 92708-3720
Phone: (714) 665-4614
Fax: (714) 665-1797
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence A171435 (CA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1053846790
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 1, 2017
Last updated in NPPESAugust 1, 2021
Certification dateAugust 1, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyINTERNAL MEDICINE
Medical schoolUNIVERSITY OF CALIFORNIA, GEFFEN SCHOOL OF MEDICINE
Graduated 2017 (9 years in practice)
Group practice Memorialcare Medical Foundation — 562 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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