Active NPI
Maryam Samadi-Soltani, M.D.
- Pediatrics Physician
- Riverside, CA
National Provider Identifier
1932139615
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- A92838
- Practice address
- 4310 Orange St
Riverside, CA 92501-3829 - Phone
- (951) 781-6335
- Fax
- (951) 208-7244
- NPI assigned
- Jul 5, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | MD00046432 | WA | |
| Pediatrics Physician | 208000000X | A92838 | CA | Primary |
Addresses
Primary practice location
4310 Orange St
Riverside, CA 92501-3829
Mailing address
4310 Orange St
Riverside, CA 92501-3829
Phone (951) 781-6335
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| A92838 | Other | CA | CALIFORNIA STATE LICENSE |
Other names 1
- Dr. Maryam Soltani
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20130823000738 | CA | Order and Referring Only - Pediatric Medicine | 5698918647 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD00046432 | WA | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Riverside Family Physicians, a Professional Medical Corporation | Past | Accepting new patients | |
| Grays Harbor ER Physicians | Past | Accepting new patients | |
| Riverside Healthcare System, L.P. | Past | Accepting new patients | |
| Multicare Health System | Past | Accepting new patients | |
| Doctors Hospital of Riverside LLC | Past | Accepting new patients | |
| Uhs Corona Inc | Past | Accepting new patients |
Interoperability endpoints
- maryam.samadisoltani.p1@direct.famdoc.nextgenshare.com
- maryam.samadisoltani.p2@direct.famdoc.nextgenshare.com
Organizations & group practices 6
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.
-
- General Acute Care Hospital
- Riverside, CA
- NPI 1124596382
-
- Family Medicine Physician
- Riverside, CA
- NPI 1790713394
-
- Rehabilitation Hospital Unit
- Riverside, CA
- NPI 1053358010
-
- Rehabilitation Hospital Unit
- Corona, CA
- NPI 1255327920
-
- General Acute Care Hospital
- Aberdeen, WA
- NPI 1356381321
-
- Children's Hospital
- Tacoma, WA
- NPI 1306952726
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152057600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1588809600000",
"number": "1932139615",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4310 ORANGE ST",
"city": "RIVERSIDE",
"state": "CA",
"postal_code": "925013829",
"telephone_number": "951-781-6335",
"fax_number": "951-208-7244"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4310 ORANGE ST",
"city": "RIVERSIDE",
"state": "CA",
"postal_code": "925013829",
"telephone_number": "951-781-6335",
"fax_number": "951-208-7244"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SAMADI-SOLTANI",
"first_name": "MARYAM",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-05",
"last_updated": "2020-05-07",
"certification_date": "2020-05-07",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "WA",
"license": "MD00046432",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "CA",
"license": "A92838",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CALIFORNIA STATE LICENSE",
"identifier": "A92838",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "MARYAM",
"last_name": "SOLTANI",
"prefix": "DR.",
"credential": "M.D.",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Riverside, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2020; 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.