Individual provider Active NPI

Mariana Fayman, P.A.-C, RN

  • Medical Physician Assistant
  • Beverly Hills, CA
National Provider Identifier
1386745909
Registry record updated Apr 17, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA20571 Issued in CA
Practice address
8536 Wilshire Blvd
Suite 202
Beverly Hills, CA 90211
Phone
(310) 248-8200
Fax
(310) 248-8290
NPI assigned
Sep 26, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA-286 AR
Medical Physician Assistant 363AM0700X PA20571 CA Primary

Addresses

Primary practice location

8536 Wilshire Blvd
Suite 202
Beverly Hills, CA 90211

Mailing address

8536 Wilshire Blvd
Suite 202
Beverly Hills, CA 90211-3153
Phone (310) 248-8200

Other identifiers 2

IdentifierTypeStateIssuer
PA20571OtherCAPA20571
R77689OtherARARKANSAS RN LICENSE NUMBE

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
I20100218000577 CA Practitioner - Physician Assistant 4981640836 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Cedars-Sinai Medical Care FoundationGroup PAC ID 0941106645, 1,684 clinicians

Practice addresses (Care Compare)

8536 Wilshire Blvd
Suite 202
Beverly Hills, CA 90211-3154
Phone (310) 248-8200

8635 W 3Rd St
Suite 465W
Los Angeles, CA 90048-6111
Phone (310) 423-0674

Hospital & facility affiliations

  • Cedars-Sinai Medical Center Hospital, Los Angeles, CA, CCN 050625

Merit-based Incentive Payment System (MIPS)

Final score
89.14 of 100Reported as group
Quality
84.79
Promoting interoperability
99
Improvement activities
40
Cost
73.15

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant, Registered Nurse

State licenses

LicenseStateTypeSpecialty
PA-286ARMDPhysician Assistant

Interoperability endpoints

  • Direct secure messaging: mfayman128919@direct.cshs.org

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1366156800000",
    "number": "1386745909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8536 WILSHIRE BLVD",
            "address_2": "SUITE 202",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902113153",
            "telephone_number": "310-248-8200",
            "fax_number": "310-248-8290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8536 WILSHIRE BLVD",
            "address_2": "SUITE 202",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "90211",
            "telephone_number": "310-248-8200",
            "fax_number": "310-248-8290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAYMAN",
        "first_name": "MARIANA",
        "credential": "P.A.-C, RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-26",
        "last_updated": "2013-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AR",
            "license": "PA-286",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CA",
            "license": "PA20571",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PA20571",
            "identifier": "PA20571",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ARKANSAS RN LICENSE NUMBE",
            "identifier": "R77689",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Beverly Hills, CA

Sources for this page

Verify at the official NPI Registry.