Maryam K. Tabrizi, M.D

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

A118850 Issued in CA

Practice address

699 W Tefft St Ste a
Nipomo, CA 93444

Phone

(805) 930-9995

Fax

(805) 929-5771

NPI assigned

Dec 6, 2010

Last updated

Oct 31, 2018By the provider in NPPES

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

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

Specialty

Family Practice

Education

Other, 1992

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Adventist Health Physicians NetworkGroup PAC ID 3274580972, 628 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Reign Home Health Care, Inc. Home health agency, Glendale, CA, CCN 757753
• Glendale Adventist Medical Center Hospital, Glendale, CA, CCN 050239

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/19994/brand/1/csg/1/fhir/r4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Adventist Health Physicians Network

  • Family Medicine Physician
  • Glendale, CA
  • NPI 1083976294
  Medicare reassignment Care Compare group NPD
• Arroyo Medical Group, Inc

  • Family Medicine Physician
  • Pismo Beach, CA
  • NPI 1720093487
  Medicare reassignment NPD
• Community Health Centers of the Central Coast Inc

  • Federally Qualified Health Center (FQHC)
  • Oceano, CA
  • NPI 1336166248
  Medicare reassignment NPD
• First Choice Physician Partners

  dba Greater Modesto Medical Surgical Associates

  • Neurological Surgery Physician
  • Modesto, CA
  • NPI 1104183052
  Medicare reassignment NPD
• Adventist Health Physicians Network

  • Physical Therapy Clinic/Center
  • Paradise, CA
  • NPI 1134092190
  NPD
• Adventist Health Physicians Network

  • Vascular Surgery Physician
  • Glendale, CA
  • NPI 1316327182
  NPD
• Community Health Centers of the Central Coast Inc

  • Federally Qualified Health Center (FQHC)
  • Santa Maria, CA
  • NPI 1447277355
  NPD
• Community Health Centers of the Central Coast Inc

  dba Community Health Centers Cambria

  • Federally Qualified Health Center (FQHC)
  • Cambria, CA
  • NPI 1881611705
  NPD
• First Choice Physician Partners

  dba North County Gastroenterology

  • Gastroenterology Physician
  • Yorba Linda, CA
  • NPI 1568892339
  NPD
• First Choice Physician Partners

  dba De La Pena Eye Clinic, A Medical Group

  • Ophthalmology Physician
  • El Monte, CA
  • NPI 1912732892
  NPD
• First Choice Physician Partners

  • Internal Medicine Physician
  • Modesto, CA
  • NPI 1912264862

  Family Medicine

  NPD (past)

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

• Glendale Adventist Medical Center

  dba Adventist Health Glendale

  • General Acute Care Hospital
  • Glendale, CA
  • NPI 1831188275
  Care Compare affiliation
• Reign Home Health Care, Inc.

  • Home Health Agency
  • Glendale, CA
  • NPI 1366191033
  Care Compare affiliation

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

{
    "created_epoch": "1291593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1540944000000",
    "number": "1932402476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "699 W TEFFT ST STE A",
            "city": "NIPOMO",
            "state": "CA",
            "postal_code": "934449288",
            "telephone_number": "805-930-9995",
            "fax_number": "805-929-5771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "699 W TEFFT ST STE A",
            "city": "NIPOMO",
            "state": "CA",
            "postal_code": "93444",
            "telephone_number": "805-930-9995",
            "fax_number": "805-929-5771"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2801 Santa Maria Way",
            "address_purpose": "LOCATION",
            "city": "Santa Maria",
            "state": "CA",
            "postal_code": "934552118",
            "country_code": "US",
            "telephone_number": "805-938-9200",
            "fax_number": "805-938-9207",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2801 Santa Maria Way",
            "address_purpose": "LOCATION",
            "city": "Santa Maria",
            "state": "CA",
            "postal_code": "934552118",
            "country_code": "US",
            "telephone_number": "805-938-9200",
            "fax_number": "805-938-9207",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TABRIZI",
        "first_name": "MARYAM",
        "middle_name": "K.",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-12-06",
        "last_updated": "2018-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A118850",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sound Sleep Dental
• Steve Clark DPM Inc
• Kila Lei Steward
• James P Sweeney, MD
• Stephanie Katherine Szabo
• Vartan Tachdjian, MD
• Claire Eileen Tarantino, M.D.
• Denise E Taylor
• Tenggren Dental Corp
• Stuart P Tenggren, D.D.S.

• Family Medicine Physician in Nipomo, CA
• Providers in Nipomo, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2018; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.