Individual provider Active NPI

Payam Marouni, M.D.

  • Family Medicine Physician
  • Pico Rivera, CA
National Provider Identifier
1386800225
Registry record updated Aug 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A101224 Issued in CA
Practice address
8338 Rosemead Blvd
Pico Rivera, CA 90660-5111
Phone
(818) 988-9090
NPI assigned
Jul 30, 2008
Last updated
Aug 17, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 17, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X A101224 CA Primary

Addresses

Primary practice location

8338 Rosemead Blvd
Pico Rivera, CA 90660-5111

Mailing address

PO Box 19211
Encino, CA 91416-9211
Phone (818) 988-9090

Other practice location 1

16119 Vanowen St
Lake Balboa, CA 91406-4822
Phone (818) 988-9090

Other practice location 2

11017 Atlantic Ave
Lynwood, CA 90262-3001
Phone (818) 988-9090

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
I20090723000263 CA Practitioner - Family PracticePractitioner - General Practice 9830241751 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A101224CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Los Angeles Surgery Center Inc Current Accepting new patients
Payam Marouni MD, Inc Family Medicine Past Accepting new patients
Payam Marouni MD Inc Family Medicine Past Accepting new patients
Valley Presbyterian Hospital Past Accepting new patients
Fresno Medical Center Inc Past Accepting new patients

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1217376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786924800000",
    "number": "1386800225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 19211",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "914169211",
            "telephone_number": "818-988-9090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8338 ROSEMEAD BLVD",
            "city": "PICO RIVERA",
            "state": "CA",
            "postal_code": "906605111",
            "telephone_number": "818-988-9090"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "16119 Vanowen St",
            "address_purpose": "LOCATION",
            "city": "Lake Balboa",
            "state": "CA",
            "postal_code": "914064822",
            "country_code": "US",
            "telephone_number": "818-988-9090",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11017 Atlantic Ave",
            "address_purpose": "LOCATION",
            "city": "Lynwood",
            "state": "CA",
            "postal_code": "902623001",
            "country_code": "US",
            "telephone_number": "818-988-9090",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MAROUNI",
        "first_name": "PAYAM",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-07-30",
        "last_updated": "2026-08-17",
        "certification_date": "2026-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A101224",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pico Rivera, CA

Sources for this page

Verify at the official NPI Registry.