Mona Abdul-Rahman Marachli, NP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

5546 Issued in CA

Practice address

1600 Holloway Ave
Student Health Services San Francisco State University
San Francisco, CA 94132-1722

Phone

(415) 338-1351

Fax

(415) 338-6834

NPI assigned

Mar 15, 2006

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

Electronic endpoints 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Permanente Medical Group Inc

  • Internal Medicine Physician
  • Santa Clara, CA
  • NPI 1073606299
  Medicare reassignment NPD
• Permanente Medical Group Inc

  • Internal Medicine Physician
  • Richmond, CA
  • NPI 1235226531
  NPD
• Permanente Medical Group, Inc

  • Clinical Medical Laboratory
  • San Jose, CA
  • NPI 1497971584
  NPD
• San Francisco State University Student Health Services

  • Clinic Pharmacy
  • San Francisco, CA
  • NPI 1134286610
  NPD (past)
• San Francisco State University Student Health Services

  • Student Health Clinic/Center
  • San Francisco, CA
  • NPI 1780784843
  NPD (past)

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

{
    "created_epoch": "1142380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641168000000",
    "number": "1871562660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 HOLLOWAY AVE",
            "address_2": "STUDENT HEALTH SERVICES SAN FRANCISCO STATE UNIVERSITY",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941321722",
            "telephone_number": "415-338-1351",
            "fax_number": "415-338-6834"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 HOLLOWAY AVE",
            "address_2": "STUDENT HEALTH SERVICES SAN FRANCISCO STATE UNIVERSITY",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941321722",
            "telephone_number": "415-338-1351",
            "fax_number": "415-338-6834"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARACHLI",
        "first_name": "MONA",
        "middle_name": "ABDUL-RAHMAN",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-15",
        "last_updated": "2022-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "5546",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ncalceq",
            "affiliation": "Y",
            "endpointDescription": "Carequality",
            "affiliationName": "The Permanente Medical Group",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "C-CDA",
            "address_1": "2238 Geary Blvd",
            "city": "San Francisco",
            "state": "CA",
            "country_code": "US",
            "postal_code": "941153416",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Lisa Mar, M.S.
• Sandra Mar
• Tiffany C Mar, NURSE PRACTITIONER
• Sian Mara, MS, PA-C
• Sylvia Maraccini
• Shanna Marie Maragh, RD
• Thorayia Marwan Maraheel, BSN, RN, NP-C
• Elyssa Rosete Marangco
• Rowena E Marania
• Mindy Sue Marantz, PT

• Nurse Practitioner in San Francisco, CA
• Providers in San Francisco, CA by specialty
• Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2022; 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.

Verify at the official NPI Registry.