Amaryllis Azadehbahari Malekniazi

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

F10230133 Issued in CA

Practice address

7220 Woodman Ave
Van Nuys, CA 91405-2648

Phone

(818) 423-5065

NPI assigned

Nov 21, 2023

Last updated

Nov 24, 2023By the provider in NPPES

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

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: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Infinity Mobile Medical GroupGroup PAC ID 7214466374, 20 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Infinity Mobile Medical Group

  • Primary Care Clinic/Center
  • Encino, CA
  • NPI 1912727835
  Medicare reassignment Care Compare group
• Infinity Wound Care Specialist

  • Wound Care Registered Nurse
  • Encino, CA
  • NPI 1275361941
  Medicare reassignment

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

{
    "created_epoch": "1700524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700784000000",
    "number": "1730954520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7220 WOODMAN AVE",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914052648",
            "telephone_number": "818-423-5065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7220 WOODMAN AVE",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914052648",
            "telephone_number": "818-423-5065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALEKNIAZI",
        "first_name": "AMARYLLIS",
        "middle_name": "AZADEHBAHARI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-11-21",
        "last_updated": "2023-11-24",
        "certification_date": "2023-11-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "F10230133",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrea Sugeili Maldonado
• Jorge Maldonado
• Malek & Friedman OB-GYN Group
• Kamran Malek, M.D.
• Farshad Malekmehr, M.D.
• Malkhas Medical Group Inc
• Ruzan Malkhasyan
• Sitaarah Mamalompong
• Christopher J Mammone
• Mammoth Home Health Care Inc

• Family Nurse Practitioner in Van Nuys, CA
• Providers in Van Nuys, CA by specialty
• Family Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.