Maria Behrooj, N.P.
Individual provider Active NPI Nurse Practitioner · Mission Hills, CA
NPI 1043735939 · NPPES record last updated Dec 3, 2021
Key facts
- NPI
- 1043735939
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse Practitioner 363L00000X
- License
- 95007034 (CA)
- Practice address
- 11333 Sepulveda Blvd
Mission Hills, CA 91345-1116 - Phone
- (818) 365-9531
- NPI assigned
- Aug 11, 2017
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 7
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Emergency Physicians Urgent Care Inc
Practice addresses (Care Compare)
9710 Brimhall Rd
Bakersfield, CA 93312-2779
Phone (661) 829-6747
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190315000795 | CA | Practitioner - Nurse Practitioner | 6507106291 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 95007034 | CA | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southern California Permanente Medical Group | Current |
Accepting new patients | |
| Emergency Physicians Urgent Care Inc. | Current |
Accepting new patients | |
| Southern California Permanente Medical Group | Current | Accepting new patients | |
| Southern California Permanente Medical Group | Current |
Accepting new patients | |
| Emergency Physicians Urgent Care Inc. | Current |
Accepting new patients | |
| Providence Facey Medical Foundation | Past | Accepting new patients | |
| Emergency Physicians Urgent Care Inc. | Past |
Accepting new patients |
Locations
2251 Mount Vernon Ave
Bakersfield, CA 93306
Phone (661) 624-0404
2400 K St
Bakersfield, CA 93301
Phone (661) 885-9909
9710 Brimhall Rd
Bakersfield, CA 93312
Phone (661) 331-8640
4871 White Ln
Bakersfield, CA 93309
Phone (661) 832-1679
212 Coffee Rd
Ste 100
Bakersfield, CA 93309
Phone (661) 885-6060
4040 California Ave
Bakersfield, CA 93309
Phone (661) 336-2050
212 Coffee Rd
Bakersfield, CA 93309
Phone (661) 829-6937
4108 Edison Ave
Ste 112
Chino, CA 91710
Phone (909) 334-4545
761 W Shaw Ave
Clovis, CA 93612
Phone (559) 549-3234
32860 Pacific Coast Hwy
Ste 24
Dana Point, CA 92629
Phone (949) 441-2922
6789 N Blackstone Ave
Fresno, CA 93710
Phone (559) 512-3377
24799 Alicia Pkwy
Laguna Hills, CA 92653
Phone (949) 652-2515
28110 Clinton Keith Rd
Murrieta, CA 92563
Phone (661) 885-6060
41540 Winchester Rd
Temecula, CA 92590
Phone (951) 365-5585
29400 Rancho California Rd
Temecula, CA 92591
Phone (951) 595-8282
888 S Hill Rd
Ventura, CA 93003
Phone (805) 477-6400
5601 De Soto Ave
Woodland Hls, CA 91367
Phone (818) 719-2000
Interoperability endpoints
- maria.behrooj.1@27732.direct.athenahealth.com
- maria.behrooj.1@29357.direct.athenahealth.com
- mbehroojarabpour1012798@oc.providencedirect.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 95007034 | CA | Yes |
Addresses
Primary practice location
11333 Sepulveda Blvd
Mission Hills, CA 91345-1116
Mailing address
5622 Las Virgenes Rd
Unit 9
Calabasas, CA 91302-3412
Phone (818) 837-5559
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| SOAP URL | https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq | Health Information Exchange (HIE) | Southern California Permanente Medical Group |
Other providers in Mission Hills, CA
- Jonathan Howard Bazaes
- Lilit Bazikyan
- Be Well Adult Day Health Care, Inc.
- Cynthia Maxine Beck
- Briana Simone Begelfer
- Daniel Kifle Belayneh II
- Carissa Bencito
- Hilma Benjamin
- Nilda Benmaor
- Theresa U Bennett
All providers in Mission Hills, CA · Nurse Practitioner in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 3, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.