MARYAM HUSAIN


Address: 370 N Wiget Ln, #125, Walnut Creek, CA 94598-2488
Phone: 9259329389

MARYAM HUSAIN (NPI# 1023434065) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1023434065
Entity Type Individual
Full Name MARYAM HUSAIN
Credential PHYSICIAN ASSISTANT
Practice Address 370 N Wiget Ln
#125
Walnut Creek
CA 94598-2488
Practice Telephone 9259329389
Practice Fax Number 9253935996
Mailing Telephone 9259329389
Mailing Fax Number 9253935996
Enumeration Date 2014-03-14
Last Update Date 2017-01-13
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 363AM0700X Physician Assistant
Specialization: Medical
25MP00326500 NJ Physician Assistants & Advanced Practice Nursing Providers
Y 363AS0400X Physician Assistant
Specialization: Surgical Technologist
52050 CA Physician Assistants & Advanced Practice Nursing Providers
N 363AS0400X Physician Assistant
Specialization: Surgical Technologist
017552 NY Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 370 N WIGET LN
#125
City WALNUT CREEK
State CA
Zip Code 94598-2488

Providers in the same location

NPI Name Taxonomy Address Enumeration
1124014741 Min-wei Christine Lee Dermatology 370 N Wiget Ln, Ste 125, Walnut Creek, CA 94598-2546 2005-09-20
1902328412 Vanessa Fatima Parvez Physician Assistant 370 N Wiget Ln, Walnut Creek, CA 94598-2488 2017-07-17
1407148943 Ilisten Marie Jones Allergy & Immunology 370 N Wiget Ln, Suite 210, Walnut Creek, CA 94598-2488 2011-05-03

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1639716608 Tasnim Diaf Moulton Counselor 2730 Shadelands Drive, Walnut Creek, CA 94598 2019-12-09
1790255370 Harmony Grace Davis Behavior Technician 2730 Shadelands Drive Bldg 10, Walnut Creek, CA 94598 2018-11-27
1922583772 Melissa Anne Mcgovern Behavioral Analyst 2370 Shadelands Drive, Bldg 10, Walnut Creek, CA 94598 2018-09-27
1184108367 Brett Heflin Woodrufff Behavior Technician 2730 Shandeland Dr. Building 10, Walnut Creek, CA 94598 2018-09-24
1710411640 Mandy Wei Pharmacist 2880 Shadeland Dr, Suite 201, Walnut Creek, CA 94598 2017-04-18
1437683497 Hayley Miller Student in an Organized Health Care Education/Training Program 2204 Lomond Lane, Walnut Creek, CA 94598 2017-04-17
1043601594 Marlene Perez Riedel Nurse Practitioner 450 North Wiget Lane, Walnut Creek, CA 94598 2015-02-05
1922418904 Dante Michael Sorrentino Ophthalmology Kaiser Permanente Park Shadelands Medical Offices, 320 Lennon Lane, Walnut Creek, CA 94598 2014-04-30
1194156505 Robert Harrison Hubbell Obstetrics & Gynecology 838 Stonehaven Dr, Walnut Creek, CA 94598 2013-12-11
1174954192 Paul Mead Orthopaedic Surgery 2405 Shadelands Dr Ste 300, Walnut Creek, CA 94598 2013-12-01
Find all providers in zip 94598

Taxonomy Information

Taxonomy Code 363AS0400X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Surgical Technologist

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1063520906 James Quintella Physician Assistant 301 Lennon Ln Ste 100, Walnut Creek, CA 94598-2426 2006-08-29
1356956460 Kali Anne Koziol Physician Assistant 2625 Shadelands Dr, Walnut Creek, CA 94598-2512 2020-09-15
1619517745 Benjamin Joseph Hubbard Physician Assistant 2625 Shadelands Dr, Walnut Creek, CA 94598-2512 2020-01-07
1306499272 Kevin Byrne Physician Assistant 2405 Shadelands Dr, Walnut Creek, CA 94598-2444 2019-07-19
1881062750 Zachary Symmes Physician Assistant 2405 Shadelands Dr, Walnut Creek, CA 94598-2444 2015-09-09
1588960694 Kennard David Beard Physician Assistant 1990 N California Blvd, Suite 400, Walnut Creek, CA 94596-3742 2011-02-07
1184959033 Jennifer Hisako Hayashi Physician Assistant 301 Lennon Ln, Suite 102, Walnut Creek, CA 94598-2483 2009-10-09
1992936868 Claire Elizabeth Kerney Physician Assistant 1425 S Main St, Walnut Creek, CA 94596-5318 2009-07-27
1588856066 James E Michael Physician Assistant 2625 Shadelands Dr, Walnut Creek, CA 94598-2512 2007-08-17
1114078631 Mark Okawachi Physician Assistant 1425 S Main St, Walnut Creek, CA 94596-5318 2007-01-12
Find all providers in WALNUT CREEK

Competitor

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City WALNUT CREEK
Zip Code 94598

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Dataset Information

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.

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