Organization Active NPI

Maryam Arjomand MD Professional Corporation

  • Obstetrics Physician
  • San Mateo, CA
National Provider Identifier
1295974202
Registry record updated Oct 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics PhysicianTaxonomy code 207VX0000X
License
A061705 Issued in CA
Legal business name
MARYAM ARJOMAND MD PROFESSIONAL CORPORATION
Practice address
136 N San Mateo Dr Ste 101420
San Mateo, CA 94401-2777
Phone
(650) 344-1114
Fax
(650) 344-2274
NPI assigned
Feb 13, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2022

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

Authorized official

Name
Maryam Arjomand, M.D.
Title
Physician
Phone
(650) 344-1114

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207VX0000X A061705 CA Primary

Addresses

Primary practice location

136 N San Mateo Dr Ste 101420
San Mateo, CA 94401-2777

Mailing address

136 N San Mateo Dr Ste 101
San Mateo, CA 94401-2779
Phone (650) 344-1114

Other names 1

  • MARYAM ARJOMAND, MD Doing business as

National Provider Directory

National Provider Directory

Locations

136 N San Mateo Dr
Ste 101420
San Mateo, CA 94401
Phone (650) 344-1114

NPI Registry JSON

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

{
    "created_epoch": "1234483200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1665100800000",
    "number": "1295974202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "136 N SAN MATEO DR STE 101",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944012779",
            "telephone_number": "650-344-1114",
            "fax_number": "650-344-2274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "136 N SAN MATEO DR STE 101420",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944012777",
            "telephone_number": "650-344-1114",
            "fax_number": "650-344-2274"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARYAM ARJOMAND MD PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-13",
        "last_updated": "2022-10-07",
        "certification_date": "2022-10-07",
        "status": "A",
        "authorized_official_last_name": "ARJOMAND",
        "authorized_official_first_name": "MARYAM",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "650-344-1114",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207VX0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology, Obstetrics",
            "state": "CA",
            "license": "A061705",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MARYAM ARJOMAND, MD",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "MARYAM ARJOMAND, MD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Mateo, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.