Individual provider Active NPI

Maya Nazanin Jamshidi

  • Adult Companion
  • Ben Lomond, CA
National Provider Identifier
1912802265
Registry record updated Oct 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult CompanionTaxonomy code 372600000X
Practice address
155 Willowbrook Dr
Ben Lomond, CA 95005-9714
Phone
(831) 336-5196
NPI assigned
Oct 8, 2026
Last updated
Oct 8, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Companion 372600000X NU Primary

Addresses

Primary practice location

155 Willowbrook Dr
Ben Lomond, CA 95005-9714

Mailing address

4908 Campanille CT
Dublin, CA 94568-4263

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI Registry JSON

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

{
    "created_epoch": "1791417600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1791417600000",
    "number": "1912802265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4908 CAMPANILLE CT",
            "city": "DUBLIN",
            "state": "CA",
            "postal_code": "945684263"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 WILLOWBROOK DR",
            "city": "BEN LOMOND",
            "state": "CA",
            "postal_code": "950059714",
            "telephone_number": "831-336-5196"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAMSHIDI",
        "first_name": "MAYA",
        "middle_name": "NAZANIN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-10-08",
        "last_updated": "2026-10-08",
        "certification_date": "2026-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "372600000X",
            "taxonomy_group": "",
            "desc": "Adult Companion",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ben Lomond, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.