Individual provider Active NPI

Mariam Yazdipour, M.D.

  • Anesthesiology Physician
  • Manhattan Beach, CA
National Provider Identifier
1356578835
Registry record updated Mar 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
C144316 Issued in CA
Practice address
400 S Sepulveda Blvd Ste 200
Manhattan Beach, CA 90266-6876
Phone
(310) 546-3461
NPI assigned
Jun 11, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 5, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X MT191749 PA
Anesthesiology Physician 207L00000X C144316 CA Primary

Addresses

Primary practice location

400 S Sepulveda Blvd Ste 200
Manhattan Beach, CA 90266-6876

Mailing address

PO Box 3129
Torrance, CA 90510-3129
Phone (310) 792-3914

Other practice location 1

245 N 15th St
Philadelphia, PA 19102-1101
Phone (215) 762-7922

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170209002088 CA Practitioner - Anesthesiology 3779757240 Reassigns benefits to 4 organizations
Practice locations: Beverly Hills, CA

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pih Health PhysiciansGroup PAC ID 8426951328, 616 clinicians

Practice addresses (Care Compare)

1225 Wilshire Blvd
Los Angeles, CA 90017-1901
Phone (213) 977-2121

12675 La Mirada Blvd
Suite 201And401
La Mirada, CA 90638-2200
Phone (562) 903-7339

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
C144316CAMDAnesthesiology Physician
MT191749PAMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pih Health Physicians CurrentSince Nov 2, 2025 Accepting new patients
Cep America - Anesthesia PC Anesthesiology CurrentSince Oct 1, 2025 Accepting new patients
Pih Health Physicians Current Accepting new patients
Cep America - Anesthesia, PC Anesthesiology Current Accepting new patients
First Choice Physician Partners CurrentSince Jul 1, 2020 Accepting new patients
Advanced Anesthesia Specialists a Medical Corporation Anesthesiology CurrentSince Jan 18, 2018 Accepting new patients
First Choice Physician Partners CurrentSince Jul 1, 2020 Accepting new patients
Cep America - Anesthesia PC Anesthesiology CurrentSince Oct 1, 2025 Accepting new patients
Pih Health Physicians Anesthesiology CurrentSince Nov 2, 2025 Accepting new patients
First Choice Physician Partners Current Accepting new patients
Advanced Anesthesia Specialists a Medical Corporation Anesthesiology CurrentSince Jan 18, 2018 Accepting new patients

Locations

12675 La Mirada Blvd
Ste 201401
La Mirada, CA 90638
Phone (562) 903-7339

1205 E North St
Manteca, CA 95336
Phone (209) 239-8301

1541 Florida Ave
Ste 101
Modesto, CA 95350
Phone (209) 575-3839

1441 Florida Ave
Modesto, CA 95350
Phone (209) 214-7235

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423

26357 McBean Pkwy
Ste 100
Valencia, CA 91355
Phone (661) 799-8300

7230 Medical Ctr
Ste 500
West Hills, CA 91307
Phone (310) 285-2424

8700 Beverly Blvd
West Hollywood, CA 90048
Phone (310) 385-3291

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 11

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": "1244678400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614902400000",
    "number": "1356578835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3129",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905103129",
            "telephone_number": "310-792-3914",
            "fax_number": "855-898-4055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 S SEPULVEDA BLVD STE 200",
            "city": "MANHATTAN BEACH",
            "state": "CA",
            "postal_code": "902666876",
            "telephone_number": "310-546-3461"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "245 N 15th St",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191021101",
            "country_code": "US",
            "telephone_number": "215-762-7922",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YAZDIPOUR",
        "first_name": "MARIAM",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-06-11",
        "last_updated": "2021-03-05",
        "certification_date": "2021-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "PA",
            "license": "MT191749",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "CA",
            "license": "C144316",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manhattan Beach, CA

Sources for this page

Verify at the official NPI Registry.