Mariam Basem Elghazzawy, MD

Primary specialty

Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X

Practice address

900 University Ave BLDG II
Riverside, CA 92521-9800

Phone

(951) 827-4618

Fax

(951) 263-7238

NPI assigned

Apr 10, 2026

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1775779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775779200000",
    "number": "1194668574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15607 CLARK AVE",
            "city": "BELLFLOWER",
            "state": "CA",
            "postal_code": "907063576"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 UNIVERSITY AVE BLDG II",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925219800",
            "telephone_number": "951-827-4618",
            "fax_number": "951-263-7238"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELGHAZZAWY",
        "first_name": "MARIAM",
        "middle_name": "BASEM",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-04-10",
        "last_updated": "2026-04-10",
        "certification_date": "2026-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Julia Dian Elguera
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• Nora Elhams
• Eliaa, LLC

• Student in an Organized Health Care Education/Training Program in Riverside, CA
• Providers in Riverside, CA by specialty
• Student in an Organized Health Care Education/Training Program in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.