MARYAM FATHY (NPI# 1114255411) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114255411 |
| Entity Type | Individual |
| Full Name | MARYAM FATHY |
| Credential | DNP, MSN, RN, NP-C |
| Practice Address |
24451 Health Center Dr Laguna Hills CA 92653-3689 |
| Practice Telephone | 9494249730 |
| Practice Fax Number | 9494527599 |
| Enumeration Date | 2009-11-24 |
| Last Update Date | 2015-05-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
21935 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
4704259944 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
24451 HEALTH CENTER DR |
| City | LAGUNA HILLS |
| State | CA |
| Zip Code | 92653-3689 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841290228 | Monarch Health Care, A Medical Group, Inc. | General Acute Care Hospital | 24451 Health Center Dr, Saddleback Memorial Medical Center, Laguna Hills, CA 92653-3689 | 2005-07-27 |
| 1063076735 | Carmina Deleon Inductivo | Nurse Practitioner | 24451 Health Center Dr, Laguna Hills, CA 92653-3689 | 2019-04-27 |
| 1306313192 | Andrea Van Ry | Nurse Practitioner | 24451 Health Center Dr, Laguna Hills, CA 92653-3689 | 2018-10-30 |
| 1134600430 | Maria Heladia Hilton | Registered Nurse | 24451 Health Center Dr, Laguna Hills, CA 92653-3689 | 2018-08-24 |
| 1255856563 | California Emergency Physicians Medical Group A Professional Corp | Internal Medicine | 24451 Health Center Dr, Laguna Hills, CA 92653-3689 | 2017-08-08 |
| 1881047124 | Stacy Clark | Marriage & Family Therapist | 24451 Health Center Dr, Laguna Hills, CA 92653-3689 | 2016-07-21 |
| 1275990244 | Jordana Jones | Registered Nurse | 24451 Health Center Dr, Laguna Hills, CA 92653-3689 | 2016-01-21 |
| 1568835411 | Karen E Forhane | Nurse Practitioner | 24451 Health Center Dr, Laguna Hills, CA 92653-3689 | 2015-11-01 |
| 1265848733 | Jessica Alva | Registered Nurse | 24451 Health Center Dr, Laguna Hills, CA 92653-3689 | 2014-07-06 |
| 1386984219 | Cheryl Beth Johnson | Physical Medicine & Rehabilitation | 24451 Health Center Dr, Laguna Hills, CA 92653-3689 | 2013-03-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932708476 | Nikkie Veyseh | Behavior Technician | 26921 Falling Leaf Dr., Laguna Hills, CA 92653 | 2020-10-24 |
| 1609480425 | Steve Ceja | Behavior Technician | 25201 Paseo De Alicia Suite 110, Laguna Hills, CA 92653 | 2020-08-31 |
| 1467006882 | Kristina Alexa Puno Morales | Dietitian, Registered | 24552 Health Center Drive, Laguna Hills, CA 92653 | 2019-07-25 |
| 1164929626 | Shoreline Consulting Services, Inc. | Clinic/Center | 23010 Lake Forest Drive, Suite B, Laguna Hills, CA 92653 | 2018-04-11 |
| 1023511045 | Performance Health Medical Group | Non-Pharmacy Dispensing Site | 25431 Cabot Road Suite 118, Laguna Hills, CA 92653 | 2018-03-15 |
| 1831613850 | Stephani A Berg | Physical Medicine & Rehabilitation | 24422 Avenida De La Carlota Suite 190, Laguna Hills, CA 92653 | 2017-08-01 |
| 1497299945 | Stephanie Lyle | Nurse Practitioner | 24221 Calle De Louisa, Suite 400, Laguna Hills, CA 92653 | 2016-12-16 |
| 1053776278 | Meillanny Gladness | Counselor | 23151 Verdugo Dr Ste 203, Laguna Hills, CA 92653 | 2015-12-16 |
| 1912383183 | Pmdca, LLC | Clinical Medical Laboratory | 23297 S Pointe Dr Ste 100, Laguna Hills, CA 92653 | 2015-08-10 |
| 1821486630 | 4mpw, Inc. | Home Health | 23232 Peralta Drive 216, Laguan Hills, CA 92653 | 2014-12-31 |
| Find all providers in zip 92653 | ||||
| Taxonomy Code | 363LP2300X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Primary Care |
| Definition to come... |
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| 1053918094 | Janel Nicole Sanglerat | Nurse Practitioner | 416 Aviation Blvd, Santa Rosa, CA 95403-1032 | 2020-10-02 |
| 1790382760 | Christopher Tran | Nurse Practitioner | 11441 Heacock St Ste F, Moreno Valley, CA 92557-7907 | 2020-10-02 |
| 1487266292 | Mollie Shira Hudson | Nurse Practitioner | 14 Whitmore Pl Apt 15, Oakland, CA 94611-4635 | 2020-08-21 |
| 1962014381 | Mario Javier Herrera | Nurse Practitioner | 2130 High Pointe Dr, Apt 108, Corona, CA 92879 | 2020-08-18 |
| 1952912131 | Norman Ivan Kier | Nurse Practitioner | 3834 Edison Ave, Sacramento, CA 95821-2728 | 2020-08-12 |
| 1942811377 | Thanhan Mathews | Nurse Practitioner | 114 W Cameron St Apt B, Hanford, CA 93230-2965 | 2020-08-10 |
| 1972113355 | Marine Mary Kademyan | Nurse Practitioner | 6528 Babcock Ave, North Hollywood, CA 91606 | 2020-07-31 |
| 1245849645 | Shannon Pereira | Nurse Practitioner | 2368 Honeysuckle Way, Hemet, CA 92545-4796 | 2020-07-31 |
| Find all providers with the same taxonomy | ||||
| City | LAGUNA HILLS |
| Zip Code | 92653 |
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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.