Maryam Mortezaiefard, D.O.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

20A7100 Issued in CA

Practice address

22110 Roscoe Blvd
Suite 100
West Hills, CA 91304-3845

Phone

(818) 888-8042

NPI assigned

Jul 19, 2006

Sex

Female

Sole proprietor

Yes

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

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

Specialty

Osteopathic Manipulative MedicineAlso: Internal Medicine

Education

Des Moines University of Osteopathic Medicine and Health Sciences, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

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 and National Provider Directory roles.

• Abm Medical Clinic, Inc.

  • Health Service Clinic/Center
  • Woodland Hills, CA
  • NPI 1497944557
  Medicare reassignment NPD Authorized official
• West Hills Hospital

  • General Acute Care Hospital
  • West Hills, CA
  • NPI 1023065729
  NPD (past)

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

{
    "created_epoch": "1153267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1285653196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22110 ROSCOE BLVD",
            "address_2": "SUITE 100",
            "city": "WEST HILLS",
            "state": "CA",
            "postal_code": "913043845",
            "telephone_number": "818-888-8042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22110 ROSCOE BLVD",
            "address_2": "SUITE 100",
            "city": "WEST HILLS",
            "state": "CA",
            "postal_code": "913043845",
            "telephone_number": "818-888-8042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORTEZAIEFARD",
        "first_name": "MARYAM",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "20A7100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Matthew Christopher Moretto, M.D.
• Kelly A Morin, PA-C
• Dennis A Mortensen, HIS
• Mina Mortezai, D.O.
• Mortezaiefard Dental Corp
• Narsis Moshfeghi, MD
• Sogol Mostafiz
• Mountainview Adhc, Inc
• Tamara S. Mowbray, LMFT
• Jesus Santiago Moya, PT, DPT

• Internal Medicine Physician in West Hills, CA
• Providers in West Hills, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.