Marian E Ammari, P.A. C
Individual provider Active NPI Physician Assistant · Mission Hills, CA
NPI 1821313875 · NPPES record last updated Dec 10, 2015
Key facts
- NPI
- 1821313875
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- PA 20902 (CA)
- Practice address
- 11333 Sepulveda Blvd
Mission Hills, CA 91345-1116 - Phone
- (818) 365-9531
- NPI assigned
- Apr 2, 2010
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 9
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- El Proyecto del Barrio Inc
Practice addresses (Care Compare)
20800 Sherman Way
Canoga Park, CA 91306-2707
Phone (818) 883-2273
8902 Woodman Ave
Arleta, CA 91331-6401
Phone (818) 830-7080
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20140915000714 | CA | Practitioner - Physician Assistant | 2769601392 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20902 | CA | MD | Orthodontics and Dentofacial Orthopedic Dentist |
| PA 20902 | CA | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| El Proyecto del Barrio, Inc. | Current |
Accepting new patients | |
| El Proyecto del Barrio, Inc. | Current |
Accepting new patients | |
| Providence Facey Medical Foundation | Past | Accepting new patients | |
| Providence Facey Medical Foundation | Past | Accepting new patients | |
| Providence Facey Medical Foundation | Past | Accepting new patients |
Locations
8902 Woodman Ave
Arleta, CA 91331
Phone (818) 830-7033
20800 Sherman Way
Winnetka, CA 91306
Phone (818) 883-2273
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA 20902 | CA | Yes |
Addresses
Primary practice location
11333 Sepulveda Blvd
Mission Hills, CA 91345-1116
Mailing address
PO Box 9602
Mission Hills, CA 91346-9602
Phone (818) 837-5559
Other providers in Mission Hills, CA
- Altima Healthcare Inc
- Ani Jacqueline Altounian
- Ana Yvette Alvarez
- Ambrosial Hospice LLC
- American Current Care of California, a Medical Corporation
- Chance R Anderson
- Cherreby Anderson
- Robert Michael Anderson
- Pamela Marie Andronis Murphy
- Chizobam Onyedinma Ani
All providers in Mission Hills, CA · Physician Assistant in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 10, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.