Active NPI
Marian Fam, MD
- Family Medicine Physician
- Cleveland, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- A174623
- Practice address
- 3569 Ridge Rd
Cleveland, OH 44102-5443 - Phone
- (216) 281-0872
- Fax
- (216) 961-5429
- NPI assigned
- Apr 3, 2018
- Reactivated
- Mar 22, 2022
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | A174623 | CA | Primary |
Addresses
Primary practice location
3569 Ridge Rd
Cleveland, OH 44102-5443
Mailing address
PO Box 72674
Cleveland, OH 44192-0002
Phone (216) 281-0872
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| United Medical Doctors | Single Specialty | Current | Accepting new patients |
| United Medical Doctors | Single Specialty | Current | Accepting new patients |
Locations
2083 Compton Ave
Ste 104
Corona, CA 92881
Phone (951) 256-8191
521 E Elder St
Ste 104
Fallbrook, CA 92028
Phone (760) 728-9560
28078 Baxter Rd
Ste 530
Murrieta, CA 92563
Phone (951) 290-5472
400 Newport Center Dr
Ste 609
Newport Beach, CA 92660
Phone (949) 760-0398
4244 Riverwalk Pkwy
Ste 290
Riverside, CA 92505
Phone (833) 863-3627
Interoperability endpoints
- https://api.platform.athenahealth.com/9170/brand/1/csg/1/fhir/r4
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1522713600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783641600000",
"number": "1891291423",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 72674",
"city": "CLEVELAND",
"state": "OH",
"postal_code": "441920002",
"telephone_number": "216-281-0872",
"fax_number": "216-961-5429"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3569 RIDGE RD",
"city": "CLEVELAND",
"state": "OH",
"postal_code": "441025443",
"telephone_number": "216-281-0872",
"fax_number": "216-961-5429"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FAM",
"first_name": "MARIAN",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-04-03",
"last_updated": "2026-07-10",
"certification_date": "2026-07-10",
"deactivation_date": "2021-12-12",
"reactivation_date": "2022-03-22",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "CA",
"license": "A174623",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cleveland, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 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.