Individual provider Active NPI

Maryam Ahmad Tarar

  • Periodontics
  • San Francisco, CA
National Provider Identifier
1457134140
Registry record updated Sep 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
License
112813 Issued in CA
Practice address
345 W Portal Ave Ste 300
San Francisco, CA 94127-1429
Phone
(415) 664-4532
NPI assigned
Aug 16, 2023
Last updated
Sep 30, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Periodontics 1223P0300X 112813 CA Primary

Addresses

Primary practice location

345 W Portal Ave Ste 300
San Francisco, CA 94127-1429

Mailing address

345 W Portal Ave Ste 300
San Francisco, CA 94127-1429
Phone (415) 664-4532

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
112813CAMDPeriodontist

Practice roles

OrganizationSpecialtyStatusNew patients
Gregory Conte DMD Ms and Paola Guglielmoni DDS, Ms Periodontics Past Accepting new patients

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, 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": "1692144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790726400000",
    "number": "1457134140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "345 W PORTAL AVE STE 300",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941271429",
            "telephone_number": "415-664-4532"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "345 W PORTAL AVE STE 300",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941271429",
            "telephone_number": "415-664-4532"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TARAR",
        "first_name": "MARYAM",
        "middle_name": "AHMAD",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-16",
        "last_updated": "2026-09-30",
        "certification_date": "2026-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "CA",
            "license": "112813",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2026; 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.