Mariam Ihuomakanwa Garuba, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

C172191 Issued in CA

Practice address

2008 N Garey Ave
Pomona, CA 91767-2722

Phone

(718) 245-2310

NPI assigned

May 11, 2007

Last updated

Mar 21, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 5

Addresses

Medicare fee-for-service enrollment

Enrolled in NY, NJ, AK, VI, CA, NE6 enrollments

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 6

Specialty

Psychiatry

Education

Creighton University School of Medicine, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

St Regis Mohawk TribeGroup PAC ID 5799748547, 11 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Tri-City Mental Health Authority

  • Community/Behavioral Health Agency
  • Pomona, CA
  • NPI 1346304920
  Medicare reassignment NPD
• Consolidated Care LLC

  • Primary Care Clinic/Center
  • Bloomfield, NJ
  • NPI 1336538305
  Medicare reassignment NPD
• Mat Su Valley Medical Center LLC

  dba Mat-Su Regional Urgent Care

  • Urgent Care Clinic/Center
  • Wasilla, AK
  • NPI 1912950148
  Medicare reassignment NPD
• New York City Health and Hospitals Corporation

  dba Gouverneur Healthcare Services

  • Clinic/Center
  • New York, NY
  • NPI 1548208127
  Medicare reassignment NPD
• Omaha Insomnia and Psychiatric Services, LLC

  • Psychiatry Physician
  • Omaha, NE
  • NPI 1477922318
  Medicare reassignment NPD
• Practice Associates Medical Group

  dba Atlantic Medical Group

  • Internal Medicine Physician
  • Morristown, NJ
  • NPI 1427016385
  Medicare reassignment NPD
• County of Monterey

  dba Adult Services Program Salinas Valley

  • Adult Mental Health Clinic/Center
  • Salinas, CA
  • NPI 1467584805
  Medicare reassignment
• VI Government Hospital and Health Facilities Corp

  dba Schneider Regional Medical Center

  • General Acute Care Hospital
  • St Thomas, VI
  • NPI 1487699047
  Medicare reassignment
• St Regis Mohawk Tribe

  dba St Regis Mohawk Health Services

  • Federally Qualified Health Center (FQHC)
  • Akwesasne, NY
  • NPI 1457344558
  Care Compare group
• County of Monterey Behavioral Health

  dba Csoc Fast

  • Clinical Child & Adolescent Psychologist
  • Salinas, CA
  • NPI 1073645586
  NPD
• Mat-Su Valley Medical Center LLC

  dba Mat-Su Regional Medical Center

  • General Acute Care Hospital
  • Palmer, AK
  • NPI 1417975061
  NPD
• New York City Health and Hospitals Corporation

  dba Gouverneur Healthcare Services

  • Skilled Nursing Facility
  • New York, NY
  • NPI 1497859573
  NPD

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

{
    "created_epoch": "1178841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742515200000",
    "number": "1275748261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 JOURNAL SQUARE PLAZA",
            "address_2": "# 486",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073062054",
            "telephone_number": "862-902-9798",
            "fax_number": "731-225-8250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2008 N GAREY AVE",
            "city": "POMONA",
            "state": "CA",
            "postal_code": "917672722",
            "telephone_number": "718-245-2310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARUBA",
        "first_name": "MARIAM",
        "middle_name": "IHUOMAKANWA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-11",
        "last_updated": "2025-03-21",
        "certification_date": "2025-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NJ",
            "license": "25MA09789600",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "AK",
            "license": "106867",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MD",
            "license": "D0090775",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "268153",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "C172191",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Taylor Jordan Garner
• Fatima Clara Garnica
• Ingrid J Garnica
• Anna Garrison
• Hailey Marie Garrison
• Gary Brito DPT, a Physical Therapy Corporation (Strive Home Therapy)
• Jasmine Garza
• Christina Elizabeth Gathers
• Yvonne L. Gatling, DOMESTIC VIOLENCE
• Tanya Gautam

• Psychiatry Physician in Pomona, CA
• Providers in Pomona, CA by specialty
• Psychiatry Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.