Individual provider Active NPI

Maryam T Farmani

  • Marriage & Family Therapist
  • Woodland Hills, CA
National Provider Identifier
1295031862
Registry record updated Apr 18, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MFC46758 Issued in CA
Practice address
20300 Ventura Blvd Ste 315
Woodland Hills, CA 91364-0903
Phone
(310) 569-8328
NPI assigned
Jan 31, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 18, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X MFC46758 CA Primary

Addresses

Primary practice location

20300 Ventura Blvd Ste 315
Woodland Hills, CA 91364-0903

Mailing address

18530 Hatteras St Unit 213
Tarzana, CA 91356-1914
Phone (310) 569-8328

Other names 1

  • Mrs. Maryam T Farmani Professional name

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: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240313003436 CA Practitioner - Marriage and Family Therapist 2769828615 Practice locations: Woodland Hills, CA

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

20300 Ventura Blvd
Suite 315
Woodland Hills, CA 91364-0903
Phone (310) 569-8328

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
MFC46758CAMDMarriage & Family Therapist
46758CAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Dr. Mimi Shagaga Inc. PastSince Jul 5, 2020 Accepting new patients

Organizations & group practices 1

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": "1296432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1492473600000",
    "number": "1295031862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18530 HATTERAS ST UNIT 213",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "913561914",
            "telephone_number": "310-569-8328"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20300 VENTURA BLVD STE 315",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913640903",
            "telephone_number": "310-569-8328"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FARMANI",
        "first_name": "MARYAM",
        "middle_name": "T",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-01-31",
        "last_updated": "2017-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC46758",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARYAM",
            "last_name": "FARMANI",
            "middle_name": "T",
            "prefix": "MRS.",
            "credential": "LMFT",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Woodland Hills, CA

Sources for this page

Verify at the official NPI Registry.