Maryam Moinfar, MD

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

A92449 Issued in CA

Practice address

34213 Pacific Coast Hwy
Suite a
Dana Point, CA 92629-2875

Phone

(952) 240-2827

Fax

(949) 248-4587

NPI assigned

Feb 2, 2006

Sex

Female

Sole proprietor

No

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

Dermatology

Education

Northwestern University Feinberg Medical School, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Advanced Dermatology Inc.Group PAC ID 0749282648, 2 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

90.81 of 100Reported as group

Quality

100

Promoting interoperability

99

Improvement activities

40

Cost

70.19

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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.

• Advanced Dermatology Inc.

  • Dermatology Physician
  • Dana Point, CA
  • NPI 1336220540
  Medicare reassignment Care Compare group NPD Authorized official

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

{
    "created_epoch": "1138838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1452470400000",
    "number": "1376515403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34213 PACIFIC COAST HWY",
            "city": "DANA POINT",
            "state": "CA",
            "postal_code": "926292875",
            "telephone_number": "952-240-2827",
            "fax_number": "949-248-4587"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34213 PACIFIC COAST HWY",
            "address_2": "SUITE A",
            "city": "DANA POINT",
            "state": "CA",
            "postal_code": "926292875",
            "telephone_number": "952-240-2827",
            "fax_number": "949-248-4587"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOINFAR",
        "first_name": "MARYAM",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-02",
        "last_updated": "2016-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "CA",
            "license": "A92449",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mindful Specialty Associates
• Hannah Mira, LCSW
• Roman Misiow, M.D.
• Mission Rehab, LLC.
• Mohamed Hassan Fayek MD Inc
• Monarch Bay Optometry, Inc.
• Sonya Mondragon
• Kathleen Morgan, M.F.T.
• Morning Star ABA Therapy LLC
• Mia Mraz

• Dermatology Physician in Dana Point, CA
• Providers in Dana Point, CA by specialty
• Dermatology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2016; 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.