MARIAM KAMYAB


Address: 2001 Dwight Way, Ste 1388, Berkeley, CA 94704-2608
Phone: 5102047979

MARIAM KAMYAB (NPI# 1235583360) 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) 1235583360
Entity Type Individual
Full Name MARIAM KAMYAB
Credential NP
Practice Address 2001 Dwight Way
Ste 1388
Berkeley
CA 94704-2608
Practice Telephone 5102047979
Enumeration Date 2016-04-14
Last Update Date 2018-01-31
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 163W00000X Registered Nurse 95084432 CA Nursing Service Providers
Y 363LF0000X Nurse Practitioner
Specialization: Family
95008375 CA Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 2001 DWIGHT WAY
STE 1388
City BERKELEY
State CA
Zip Code 94704-2608

Providers in the same location

NPI Name Taxonomy Address Enumeration
1295738805 Bay Area Rehabilitation Medical Group Physical Medicine & Rehabilitation 2001 Dwight Way, Berkeley, CA 94704-2608 2005-05-27
1366083545 Jamba Dolkar Tenzing Nurse Practitioner 2001 Dwight Way, Berkeley, CA 94704-2608 2019-09-30
1013401983 Lindsey Olander Speech-Language Pathologist 2001 Dwight Way, Berkeley, CA 94704-2608 2018-06-14
1447604814 Sutter Bay Hospitals Psychiatric Unit 2001 Dwight Way, Berkeley, CA 94704-2608 2016-04-21
1336529106 Alta Bates Summit Medical Center Clinic/Center 2001 Dwight Way, Berkeley, CA 94704-2608 2015-06-05
1538563614 Sutter East Bay Hospitals Pharmacy 2001 Dwight Way, Suite 2182, Berkeley, CA 94704-2608 2014-10-17
1821405192 Altabates Comprehensive Cancer Center Clinic/Center 2001 Dwight Way, Berkeley, CA 94704-2608 2014-07-17
1942624408 Karri Kennedy Occupational Therapist 2001 Dwight Way, Berkeley, CA 94704-2608 2014-02-04
1740611375 Rebecca Hummel-moore Nurse Practitioner 2001 Dwight Way, Berkeley, CA 94704-2608 2013-12-08
1386983583 Tadd T Tobias Registered Nurse 2001 Dwight Way, #1363, Berkeley, CA 94704-2608 2013-02-07
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1821698887 Ka Yin Emma Liu Counselor 1936 University Avenue, Partnerships for Trauma Recover, Suite 191, Berkeley, CA 94704 2020-10-29
1821617168 Michelle Nagal Hunt Behavior Technician 2080 Addison Street, #302, Berkeley, CA 94704 2020-04-15
1366097081 Sabrina Barnett Behavior Technician 2080 Addison St, #302, Berkeley, CA 94704 2019-08-08
1811559735 Bonita House, Inc. Community/Behavioral Health 1909 University Ave, Berkeley, CA 94704 2019-07-01
1376014928 Justin T Cooke Specialist/Technologist 2024 Durant Ave #508, Berkeley, CA 94704 2018-12-07
1972080158 Cecilia Winfield Student in an Organized Health Care Education/Training Program 1918 University Ave., Suite 2b, Berkeley, CA 94704 2018-07-20
1952897332 Jennifer Henry Henry Naturopath 2041 Bancroft Way #303, 2041 Bancroft Way, Berkeley, CA 94704 2018-07-09
1497267967 Merlenet Michelle Riley Counselor 2640 Martin Luther King, Berkeley, CA 94704 2017-10-24
1265951719 Caitlin Mary Mcdonough Student in an Organized Health Care Education/Training Program 1918 University Avenue, Suite 2b, Berkeley, CA 94704 2017-09-15
1922525120 Patrice Werling Counselor 1918 University Avenue, Suite 2b, Berkeley, CA 94704 2017-08-28
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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1861967622 Liliana Teves Sierra Nurse Practitioner 837 Addison St, Berkeley, CA 94710 2018-10-09
1295210995 Brian Christopher Vassalo Nurse Practitioner 1528 Woolsey St Apt D, Berkeley, CA 94703-2353 2018-09-27
1942710140 Laila Rania Tannura Nurse Practitioner 837 Addison St., Berkeley, CA 94710 2017-10-03
1275063323 Alice Mak Nurse Practitioner 3154 College Ave Apt 2, Berkeley, CA 94705-2747 2017-06-12
1174996839 Niccole Blanchet Nurse Practitioner 3095 Telegraph Ave, Berkeley, CA 94705-2035 2015-11-03
1497996953 Tamra Leigh Groode Nurse Practitioner 2701 Martin Luther King Jr Way, Berkeley, CA 94703-2165 2009-03-13
1306066576 Gretchen Leslie Meyer Nurse Practitioner 2016 Delaware St # A, Berkeley, CA 94709-2122 2007-04-27
1285765313 Mythilla Karunaratne Nurse Practitioner 2999 Regent St Ste 425, Berkeley, CA 94705-2119 2007-03-08
1144358532 Pam Elizabeth Cameron Nurse Practitioner University Health Servcices 2222 Bancroft Way, Berkeley, CA 94720-4300 2007-02-28
1497851653 Maile Concolino Matier Nurse Practitioner 2222 Bancroft Ext # 4300, Berkeley, CA 94720-4300 2006-09-15
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Competitor

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City BERKELEY
Zip Code 94704

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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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