Individual provider Active NPI

Mariam Janzad, NP

  • Nurse Practitioner
  • Walnut Creek, CA
National Provider Identifier
1043902141
Registry record updated May 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
95019648 Issued in CA
Practice address
1981 N Broadway Ste 255
Walnut Creek, CA 94596-3827
Phone
(888) 777-1945
Fax
(805) 413-9099
NPI assigned
May 25, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 25, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 95019648 CA Primary

Addresses

Primary practice location

1981 N Broadway Ste 255
Walnut Creek, CA 94596-3827

Mailing address

PO Box 25583
Pasadena, CA 91185-0001
Phone (805) 505-7757

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230808000979 CA Practitioner - Nurse Practitioner 7214399203 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Infusion4HealthGroup PAC ID 9032433206, 23 clinicians

Practice addresses (Care Compare)

77 Rolling Oaks Dr
Suite 201
Thousand Oaks, CA 91361-1018
Phone (805) 719-3700

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Infusion4Health Nurse Practitioner CurrentSince Jun 24, 2023 Accepting new patients

Locations (25 of 27)

1104 Buchanan Rd
Ste B5
Antioch, CA 94509
Phone (925) 757-9012

18145 US Highway 18
Ste C
Apple Valley, CA 92307
Phone (909) 710-5752

8339 Brimhall Rd
Ste 1301
Bakersfield, CA 93312

9033 Wilshire Blvd
Ste 401
Beverly Hills, CA 90211
Phone (310) 273-1003

625 Citracado Pkwy
Ste 204
Escondido, CA 92025
Phone (760) 294-9255

1125 E Spruce Ave
Ste 201
Fresno, CA 93720
Phone (559) 896-0400

2720 N Harbor Blvd
Ste 200
Fullerton, CA 92835
Phone (714) 449-6900

501 N Central Ave
Glendale, CA 91203
Phone (805) 505-7757

1400 Reynolds Ave
Ste 201202
Irvine, CA 92614

8881 Fletcher Pkwy
Ste 385
La Mesa, CA 91942
Phone (619) 460-0137

79440 Corporate Center Dr
Ste 101
La Quinta, CA 92253
Phone (760) 777-4067

79440 Corporate Center Dr
Ste 100
La Quinta, CA 92253

24012 Calle de la Plata
Ste 230
Laguna Hills, CA 92653
Phone (805) 505-7757

11306 Mountain View Ave
Ste B
Loma Linda, CA 92354
Phone (909) 478-9081

3300 Webster St
Ste 900
Oakland, CA 94609
Phone (510) 834-3700

50 Alessandro Pl
Ste 130
Pasadena, CA 91105
Phone (626) 564-4262

6485 Day St
Ste 302
Riverside, CA 92507
Phone (951) 571-2450

333 University Ave
Ste 140
Sacramento, CA 95825
Phone (916) 333-5800

4520 Executive Dr
Ste 227
San Diego, CA 92121
Phone (619) 333-3515

24355 Lyons Ave
Ste 211
Santa Clarita, CA 91321
Phone (661) 255-6644

2121 Wilshire Blvd
Ste 303
Santa Monica, CA 90403
Phone (310) 264-1777

5620 Wilbur Ave
Ste 310
Tarzana, CA 91356
Phone (323) 886-3368

27555 Ynez Rd
Ste 370
Temecula, CA 92591
Phone (951) 699-3299

77 Rolling Oaks Dr
Ste 201
Thousand Oaks, CA 91361
Phone (805) 413-9099

23456 Hawthorne Blvd
Ste 140
Torrance, CA 90505

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1684972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684972800000",
    "number": "1043902141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 25583",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911850001",
            "telephone_number": "805-505-7757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1981 N BROADWAY STE 255",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945963827",
            "telephone_number": "888-777-1945",
            "fax_number": "805-413-9099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JANZAD",
        "first_name": "MARIAM",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-25",
        "last_updated": "2023-05-25",
        "certification_date": "2023-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "95019648",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Walnut Creek, CA

Sources for this page

Verify at the official NPI Registry.