Active NPI
Mariam Ajmaia, PA-C
- Physician Assistant
- Fresno, CA
National Provider Identifier
1619893716
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 68613
- Practice address
- 1570 E Herndon Ave
Fresno, CA 93720-3303 - Phone
- (559) 603-7241
- Fax
- (559) 603-7242
- NPI assigned
- Jun 24, 2026
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 68613 | CA | Primary |
Addresses
Primary practice location
1570 E Herndon Ave
Fresno, CA 93720-3303
Mailing address
PO Box 889442
Los Angeles, CA 90088-9442
Phone (559) 603-7372
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1782259200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1787702400000",
"number": "1619893716",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 889442",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900889442",
"telephone_number": "559-603-7372",
"fax_number": "559-451-3661"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1570 E HERNDON AVE",
"city": "FRESNO",
"state": "CA",
"postal_code": "937203303",
"telephone_number": "559-603-7241",
"fax_number": "559-603-7242"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AJMAIA",
"first_name": "MARIAM",
"credential": "PA-C",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2026-06-24",
"last_updated": "2026-08-26",
"certification_date": "2026-08-26",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CA",
"license": "68613",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fresno, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2026; 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.