Individual provider Active NPI

Maryam Amini, MD

  • Family Medicine Physician
  • Walnut Creek, CA
National Provider Identifier
1245402072
Registry record updated Apr 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A106088 Issued in CA
Practice address
2700 Ygnacio Valley Rd Ste 100
Walnut Creek, CA 94598-3462
Phone
(925) 939-3050
Fax
(925) 939-3057
NPI assigned
Apr 1, 2008
Last updated
Apr 19, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 19, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X A106088 CA Primary

Addresses

Primary practice location

2700 Ygnacio Valley Rd Ste 100
Walnut Creek, CA 94598-3462

Mailing address

2700 Ygnacio Valley Rd Ste 100
Walnut Creek, CA 94598-3462
Phone (925) 939-3050

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100104000607 CA Practitioner - Internal MedicinePractitioner - Peripheral Vascular Disease 1254472822 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Peripheral Vascular Disease
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Muir Pulmonary Critical CareGroup PAC ID 3476449943, 13 clinicians

Practice addresses (Care Compare)

2700 Ygnacio Valley Rd
Suite 100
Walnut Creek, CA 94598-3462
Phone (925) 939-3050

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
98.62 of 100Reported as group
Quality
100
Promoting interoperability
100
Improvement activities
40
Cost
70.52

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
106088CAMDMarriage & Family Therapist
A106088CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Muir Pulmonary Critical Care CurrentSince Feb 1, 2024 Accepting new patients
Bass Medical Group Past Accepting new patients

Locations

1399 Ygnacio Valley Rd
Ste 14
Walnut Creek, CA 94598
Phone (925) 934-4123

2700 Ygnacio Valley Rd
Ste 100
Walnut Creek, CA 94598
Phone (925) 939-3050

Interoperability endpoints

  • Direct secure messaging: mamini49853@ehr.johnmuirhealth.com

Organizations & group practices 2

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

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1207008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713484800000",
    "number": "1245402072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2700 YGNACIO VALLEY RD STE 100",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945983462",
            "telephone_number": "925-939-3050",
            "fax_number": "925-939-3057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2700 YGNACIO VALLEY RD STE 100",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945983462",
            "telephone_number": "925-939-3050",
            "fax_number": "925-939-3057"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AMINI",
        "first_name": "MARYAM",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-04-01",
        "last_updated": "2024-04-19",
        "certification_date": "2024-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A106088",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Walnut Creek, CA

Sources for this page

Verify at the official NPI Registry.