Mariam Alaa Al Shakarchi

Primary specialty

DentistTaxonomy code 122300000X

License

108500 Issued in CA

Practice address

1357 E Florence Ave
Los Angeles, CA 90001-1934

Phone

(323) 835-0444

NPI assigned

Jan 13, 2023

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

Other names 1

• Mariam Alaa Al Shakarchi Former name

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: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Interoperability endpoints

• Direct secure messaging: mariam.alshakarchi.p1@direct.castle.nextgenshare.com

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

{
    "created_epoch": "1673568000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673568000000",
    "number": "1477267490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 W LEXINGTON AVE UNIT 579",
            "city": "EL CAJON",
            "state": "CA",
            "postal_code": "920225224",
            "telephone_number": "619-751-0799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1357 E FLORENCE AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900011934",
            "telephone_number": "323-835-0444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AL SHAKARCHI",
        "first_name": "MARIAM",
        "middle_name": "ALAA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-01-13",
        "last_updated": "2023-01-13",
        "certification_date": "2023-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "108500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARIAM",
            "last_name": "AL SHAKARCHI",
            "middle_name": "ALAA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Salwan Naji Al Hani, MD
• Alsadiq Waleed Mohammad Al Hillan
• Shahed Al Khalifah, BDS, MS
• Ahmad Mousabakhit Al Manasir, DDS
• Zainab Majid Al Obaidi, MD
• Khalid Rabia Hassan Al Shamousi, MD, FRCPC
• Yousef Al Srouji, RPH
• Mohamed Al Thahabi
• Lamis Al-Ahmad, M.D.
• Yusra Al-Alawi

• Dentist in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2023; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.