MARYAM FARAZHA (NPI# 1063416840) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063416840 |
| Entity Type | Individual |
| Full Name | MARYAM FARAZHA |
| Credential | MD |
| Practice Address |
1821 Wilshire Blvd Ste 100 Santa Monica CA 90403-5627 |
| Practice Telephone | 3105753100 |
| Practice Fax Number | 3105753102 |
| Mailing Telephone | 3105753100 |
| Mailing Fax Number | 3105753102 |
| Enumeration Date | 2005-06-09 |
| Last Update Date | 2019-01-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | A101291 | CA | Allopathic & Osteopathic Physicians |
| N | 207Q00000X | Family Medicine | D0060512 | MD | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | MAMSI | 8127890 | 01 |
| MD | CAREFIRST BLUE CHOICE | K249 0002 | 01 |
| MD | CAREFIRST BC/BS OF MD | 64147501 | 01 |
| Street Address |
1821 WILSHIRE BLVD STE 100 |
| City | SANTA MONICA |
| State | CA |
| Zip Code | 90403-5627 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851704977 | Karen Hsu Patterson | Nurse Practitioner | 1821 Wilshire Blvd Ste 100, Santa Monica, CA 90403-5627 | 2014-06-05 |
| 1033535182 | Matthew Nienaber | Internal Medicine | 1821 Wilshire Blvd Ste 100, Santa Monica, CA 90403-5627 | 2014-03-13 |
| 1356600423 | Traci Akiko Eguchi | Nurse Practitioner | 1821 Wilshire Blvd Ste 100, Santa Monica, CA 90403-5627 | 2012-05-10 |
| 1780639914 | Brian D Madden | Family Medicine | 1821 Wilshire Blvd Ste 100, Santa Monica, CA 90403-5627 | 2006-05-24 |
| 1558314096 | Wakana Saeki | Family Medicine | 1821 Wilshire Blvd Ste 100, Santa Monica, CA 90403-5627 | 2006-05-18 |
| 1285686048 | Jennifer Leigh Chin | Family Medicine | 1821 Wilshire Blvd Ste 100, Santa Monica, CA 90403-5627 | 2006-05-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427520972 | Isobel Gardner | Marriage & Family Therapist | 2730 Wilshire Boulevard #650, Santa Monica, CA 90403 | 2018-12-21 |
| 1477030369 | Jennifer Garcia | Dentist | 2901 Wilshire Blvd Ste 255, Santa Monica, CA 90403 | 2018-07-23 |
| 1215435847 | The Balance Lab Physical Therapy and Fitness | Physical Therapist | 2924 Wilshire Blvd, Santa Monica, CA 90403 | 2018-01-29 |
| 1306354634 | Sea Change Santa Monica, Lp | Clinic/Center | 1051 Princeton St, Santa Monica, CA 90403 | 2018-01-22 |
| 1114446226 | Jafary Foot & Ankle Specialists LLC | Podiatrist | 2121 Wilshire Blvd Ste 101, Santa Monica, CA 90403 | 2017-09-11 |
| 1023553906 | Jory Faermark | Speech-Language Pathologist | 1158 26th Street, #417, Santa Monica, CA 90403 | 2016-12-30 |
| 1376095042 | William Michael Thornton | Chiropractor | 2118 Wilshire Blvd, #577, Santa Monica, CA 90403 | 2016-10-28 |
| 1801251723 | Lisa Lavoie | Naturopath | 1-935 Euclid St, Santa Monica, CA 90403 | 2015-12-18 |
| 1376915793 | Lisa Hanes | Marriage & Family Therapist | 1150 Yale Street, Suite 2, Santa Monica, CA 90403 | 2015-10-25 |
| 1386015386 | Natalie Kazarian | Marriage & Family Therapist | 2116 Wilshire Blvd Ste 241, Santa Monica, CA 90403 | 2015-10-15 |
| Find all providers in zip 90403 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295271286 | Asal Askarinam | Family Medicine | 1260 15th St Ste 1501, Santa Monica, CA 90404-1150 | 2017-01-13 |
| 1316380769 | Juan Manuel Cabrales | Family Medicine | 1920 Colorado Ave Fl 2, Santa Monica, CA 90404-3414 | 2013-04-15 |
| 1730423229 | Lawrence M Rosen | Family Medicine | 305 Alta Ave, Santa Monica, CA 90402-2729 | 2012-11-21 |
| 1295029882 | Jenny Jie Bao | Family Medicine | 2001 Santa Monica Blvd Ste 370w, Santa Monica, CA 90404-2105 | 2011-06-01 |
| 1437391554 | Amy Gelfand | Family Medicine | 1027 Princeton St, Santa Monica, CA 90403-4701 | 2009-04-03 |
| 1740426352 | Adel E. Salawy | Family Medicine | 201 Ocean Ave, 1609-b, Santa Monica, CA 90402 | 2009-01-02 |
| 1205081916 | Gerald Klaz | Family Medicine | 50 Village Park Way, Santa Monica, CA 90405 | 2008-11-21 |
| 1942460605 | Diane Rhee Kim | Family Medicine | 1920 Colorado Blvd., Santa Monica, CA 90404 | 2008-06-16 |
| 1831301845 | Watson Medical Inc | Family Medicine | 3201 Wilshire Blvd Ste 211, Santa Monica, CA 90403-2337 | 2007-05-03 |
| 1619199791 | Stephanie Canale | Family Medicine | 2428 Santa Monica Blvd Ste 200, Santa Monica, CA 90404-2046 | 2007-05-02 |
| Find all providers in SANTA MONICA | ||||
| City | SANTA MONICA |
| Zip Code | 90403 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.