Individual provider Active NPI

Maryam Soroudi, NP

  • Perinatal Clinical Nurse Specialist
  • Mission Hills, CA
National Provider Identifier
1285828525
Registry record updated Feb 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Perinatal Clinical Nurse SpecialistTaxonomy code 364SP1700X
License
RN423710 Issued in CA
Practice address
14901 Rinaldi St Ste 202
Mission Hills, CA 91345-1254
Phone
(818) 361-7358
NPI assigned
Aug 29, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Perinatal Clinical Nurse Specialist 364SP1700X RN423710 CA Primary

Addresses

Primary practice location

14901 Rinaldi St Ste 202
Mission Hills, CA 91345-1254

Mailing address

6609 Van Nuys Blvd Ste 201-a
Van Nuys, CA 91405-4618
Phone (818) 812-5410

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200701001166 CA Practitioner - Nurse Practitioner 6204259773 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
10598CAMDGerontology Occupational Therapist
RN423710CAMDPerinatal Clinical Nurse Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Center for Family Health and Education Inc CurrentSince Mar 1, 2020 Accepting new patients
Center for Family Health and Education Inc Current Accepting new patients
Center for Family Health and Education Inc CurrentSince Mar 1, 2020 Accepting new patients
Center for Family Health and Education Inc Past Accepting new patients

Locations

500 W Willow St
#101
Long Beach, CA 90806
Phone (562) 427-1700

14901 Rinaldi St
Ste 202
Mission Hills, CA 91345
Phone (818) 361-7358

8727 Van Nuys Blvd
Ste 207
Panorama City, CA 91402

8727 Van Nuys Blvd
Ste 101
Panorama City, CA 91402
Phone (818) 405-0090

6609 Van Nuys Blvd
Ste 201A
Van Nuys, CA 91405

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1188345600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771545600000",
    "number": "1285828525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6609 VAN NUYS BLVD STE 201-A",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914054618",
            "telephone_number": "818-812-5410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14901 RINALDI ST STE 202",
            "city": "MISSION HILLS",
            "state": "CA",
            "postal_code": "913451254",
            "telephone_number": "818-361-7358"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOROUDI",
        "first_name": "MARYAM",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-29",
        "last_updated": "2026-02-20",
        "certification_date": "2026-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SP1700X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Perinatal",
            "state": "CA",
            "license": "RN423710",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mission Hills, CA

Sources for this page

Verify at the official NPI Registry.