Individual provider Active NPI

Maryam Zarei, M.D.

  • Allergy Physician
  • Poway, CA
National Provider Identifier
1982649505
Registry record updated Aug 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy PhysicianTaxonomy code 207KA0200X
License
A63974 Issued in CA
Practice address
15725 Pomerado Rd Ste 218
Poway, CA 92064-2060
Phone
(858) 521-0806
Fax
(858) 521-0808
NPI assigned
Jun 18, 2006
Last updated
Aug 27, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy Physician 207KA0200X A63974 CA Primary

Addresses

Primary practice location

15725 Pomerado Rd Ste 218
Poway, CA 92064-2060

Mailing address

15725 Pomerado Rd Ste 218
Poway, CA 92064-2060
Phone (858) 521-0806

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050617000658 CA Practitioner - Allergy/ImmunologyPractitioner - Pediatric Medicine 4385688548 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Allergy/Immunology
Education
Medical College of Pennsylvania, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

15725 Pomerado Rd
Suite 218
Poway, CA 92064-2060
Phone (858) 521-0806

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A63974CAMDAllergy Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Family Allergy, Asthma, Immunology & Sinus Center P.C. Allergy CurrentSince Sep 1, 2007 Accepting new patients
Scripps Health Current Accepting new patients
Sharp Memorial Hospital Past Accepting new patients
Sharp Community Medical Group Past Accepting new patients
Marilyn Kaufhold, M.D., a Medical Corporation Past Accepting new patients

Locations

15725 Pomerado Rd
Ste 103
Poway, CA 92064
Phone (858) 521-0806

15725 Pomerado Rd
Ste 218
Poway, CA 92064
Phone (619) 825-8511

Interoperability endpoints

  • Direct secure messaging: maryam_zarei@family-allergy.amazing-direct.com
  • Direct secure messaging: mzarei81773@scrippshlth.medalliesdirect.net

Organizations & group practices 5

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.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1150588800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598486400000",
    "number": "1982649505",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15725 POMERADO RD STE 218",
            "city": "POWAY",
            "state": "CA",
            "postal_code": "920642060",
            "telephone_number": "858-521-0806",
            "fax_number": "858-521-0808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15725 POMERADO RD STE 218",
            "city": "POWAY",
            "state": "CA",
            "postal_code": "920642060",
            "telephone_number": "858-521-0806",
            "fax_number": "858-521-0808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZAREI",
        "first_name": "MARYAM",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-18",
        "last_updated": "2020-08-27",
        "certification_date": "2020-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207KA0200X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology, Allergy",
            "state": "CA",
            "license": "A63974",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Poway, CA

Sources for this page

Verify at the official NPI Registry.