Individual provider Active NPI

Mariah Elly, MD

  • Obstetrics & Gynecology Physician
  • Los Angeles, CA
National Provider Identifier
1851978209
Registry record updated Jun 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
A202227 Issued in CA
Practice address
8631 W 3Rd St Ste 510E
Los Angeles, CA 90048-5909
Phone
(310) 385-3380
NPI assigned
Mar 24, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Obstetrics & Gynecology Physician 207V00000X A202227 CA Primary

Addresses

Primary practice location

8631 W 3Rd St Ste 510E
Los Angeles, CA 90048-5909

Mailing address

8631 W 3Rd St Ste 510E
Los Angeles, CA 90048-5909

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address MGE32@DREXEL.EDU Direct

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20250826002694 CA Practitioner - Obstetrics/Gynecology 0941606206 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Drexel University College of Medicine, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Cedars-Sinai Medical Care FoundationGroup PAC ID 0941106645, 1,684 clinicians

Practice addresses (Care Compare)

8631 W 3Rd St
Suite 510
Los Angeles, CA 90048-5909
Phone (310) 385-3380

Hospital & facility affiliations

  • Cedars-Sinai Medical Center Hospital, Los Angeles, CA, CCN 050625

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A202227CAMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cedars-Sinai Medical Care Foundation CurrentSince Aug 18, 2025 Accepting new patients
Cedars-Sinai Medical Center Past Accepting new patients

Locations

8631 W 3rd St
Ste 810E
Los Angeles, CA 90048
Phone (310) 652-3570

8635 W 3rd St
Ste 475W
Los Angeles, CA 90048
Phone (213) 657-3792

8635 W 3rd St
Ste 465W
Los Angeles, CA 90048
Phone (310) 423-0674

8631 W 3rd St
Ste 510
Los Angeles, CA 90048
Phone (310) 278-1490

8631 W 3rd St
Ste 830E
Los Angeles, CA 90048
Phone (310) 423-1224

8631 W 3rd St
Ste 510E
Los Angeles, CA 90048
Phone (310) 278-1490

8635 W 3rd St
Ste 690W
Los Angeles, CA 90048
Phone (310) 276-1721

8631 W 3rd St
Ste 735E
Los Angeles, CA 90048
Phone (310) 442-8238

8631 W 3rd St
Ste 840E
Los Angeles, CA 90048

4140 W 190th St
Torrance, CA 90504
Phone (310) 967-1780

Interoperability endpoints

  • Direct secure messaging: melly525633@direct.cshs.org
  • Direct secure messaging: mge32@drexel.edu

Organizations & group practices 2

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1616544000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750809600000",
    "number": "1851978209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8631 W 3RD ST STE 510E",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900485909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8631 W 3RD ST STE 510E",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900485909",
            "telephone_number": "310-385-3380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLY",
        "first_name": "MARIAH",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-24",
        "last_updated": "2025-06-25",
        "certification_date": "2025-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "CA",
            "license": "A202227",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "MGE32@DREXEL.EDU",
            "affiliation": "N",
            "endpointDescription": "SECURE EMAIL",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1200 Old York Rd",
            "city": "Abington",
            "state": "PA",
            "country_code": "US",
            "postal_code": "190013720",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.