Mariam Nessiem Zaki Bishara, MD-PHD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

A102845 Issued in CA

Practice address

1814 W Lincoln Ave Ste B
Anaheim, CA 92801-6730

Phone

(323) 668-7930

Fax

(323) 889-7821

NPI assigned

Jan 15, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Mariam NZ Bishara 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: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1200355200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1415232000000",
    "number": "1497931950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1814 W LINCOLN AVE STE B",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928016730",
            "telephone_number": "323-668-7930",
            "fax_number": "323-889-7821"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1814 W LINCOLN AVE STE B",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928016730",
            "telephone_number": "323-668-7930",
            "fax_number": "323-889-7821"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BISHARA",
        "first_name": "MARIAM",
        "middle_name": "NESSIEM ZAKI",
        "name_prefix": "Dr.",
        "credential": "MD-PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-01-15",
        "last_updated": "2014-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PR",
            "license": "14738",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A102845",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARIAM",
            "last_name": "BISHARA",
            "middle_name": "NZ",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Mark F. Bird, MD
• Vicki L Birk, NP
• Jonathan R Birnbaum, MD
• William Benjamin Birnbaum, MD
• Kentessa Birner
• Nevine G. Bishara, PHARM.D.
• Bishay DDS Inc
• Sharma L Bishop, M.D
• Omokorede Bisiriyu
• Celeste Bitong, RPT

• Internal Medicine Physician in Anaheim, CA
• Providers in Anaheim, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2014; 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.