Maral Shabak, LM, CPM

Primary specialty

MidwifeTaxonomy code 176B00000X

License

LM585 Issued in CA

Practice address

577 E Elder St Ste H
Fallbrook, CA 92028-3079

Phone

(760) 645-3447

Fax

(951) 200-4396

NPI assigned

Aug 5, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Abc Birth Services Inc

  • Midwife
  • Fallbrook, CA
  • NPI 1558812479
  NPD (past)

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

{
    "created_epoch": "1564963200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564963200000",
    "number": "1568017788",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2192 SWEETBRIAR RD",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "927806906",
            "telephone_number": "714-585-6197",
            "fax_number": "951-200-4396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "577 E ELDER ST STE H",
            "city": "FALLBROOK",
            "state": "CA",
            "postal_code": "920283079",
            "telephone_number": "760-645-3447",
            "fax_number": "951-200-4396"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHABAK",
        "first_name": "MARAL",
        "credential": "LM, CPM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-08-05",
        "last_updated": "2019-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "176B00000X",
            "taxonomy_group": "",
            "desc": "Midwife",
            "state": "CA",
            "license": "LM585",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bertha Santillan, LICSW
• Jeffrey Savage
• Luke Anthony Scott, DPT
• Carl Dean Sebern
• Seniors Who Help Seniors Inc.
• Stuti Shah
• Jemal Shekay, NP
• Christina S Sherman, PH.D., MFT
• Evelyn Louise Silk, NURSE PRACTITIONER
• Siva Performance and Wellness Physical Therapy PC

• Midwife in Fallbrook, CA
• Providers in Fallbrook, CA by specialty
• Midwife in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2019; 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.