Active NPI
Yohannes Mariam
- Private Vehicle
- Oakley, CA
National Provider Identifier
1265212989
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Private Vehicle
- License
- 9HOC495
- Practice address
- 813 Stickney Way
Oakley, CA 94561-1010 - Phone
- (408) 410-8802
- NPI assigned
- Oct 2, 2023
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Private Vehicle | 347C00000X | 9HOC495 | CA | Primary |
Addresses
Primary practice location
813 Stickney Way
Oakley, CA 94561-1010
Mailing address
813 Stickney Way
Oakley, CA 94561-1010
Phone (408) 410-8802
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9HOC495 | CA | MD | Private Vehicle |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1696204800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1696204800000",
"number": "1265212989",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "813 STICKNEY WAY",
"city": "OAKLEY",
"state": "CA",
"postal_code": "945611010",
"telephone_number": "408-410-8802"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "813 STICKNEY WAY",
"city": "OAKLEY",
"state": "CA",
"postal_code": "945611010",
"telephone_number": "408-410-8802"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARIAM",
"first_name": "YOHANNES",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2023-10-02",
"last_updated": "2023-10-02",
"certification_date": "2023-09-30",
"status": "A"
},
"taxonomies": [
{
"code": "347C00000X",
"taxonomy_group": "",
"desc": "Private Vehicle",
"state": "CA",
"license": "9HOC495",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Oakley, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.