| NPI | 1265052633 |
|---|---|
| NPI Type | NPI-1 Individual |
| Status | Active |
| Enumeration Date | 2020-04-25 |
| Last Updated | 2023-08-04 |
| Mailing Address | 147 N Brent St Ventura, CA 93003-2809 United States 📍 View Map |
| Primary Practice Address | 147 N Brent St Ventura, CA 93003-2809 United States Phone: (805) 948-5672 📍 View Map |
| Primary | Taxonomy Code & Description | State | License Number |
|---|---|---|---|
| Yes | 207Q00000X – Family Medicine | CA | 19944 |
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About NPI 1265052633
Mariam Gheissari is a healthcare provider registered in the CMS NPPES NPI Registry with NPI number 1265052633. The primary specialty listed is Family Medicine. The provider is located in Ventura, CA. This NPI is classified as a Type 1 (Individual) NPI and is currently active. The NPI was first enumerated (assigned) on 2020-04-25. All data is sourced directly from the official CMS NPPES public API and is updated daily.
Frequently Asked Questions
What is NPI 1265052633?
NPI 1265052633 belongs to Mariam Gheissari, a Family Medicine in Ventura, CA. It is a Type 1 Individual NPI registered in the CMS NPPES NPI Registry.
Is NPI 1265052633 active?
The current status of NPI 1265052633 in the NPPES registry is Active. The record was last updated on 2023-08-04.
What specialty is NPI 1265052633?
NPI 1265052633 is classified under the taxonomy Family Medicine. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.
How do I verify NPI 1265052633?
You can verify NPI 1265052633 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.
What address is on file for NPI 1265052633?
The primary practice address on file for NPI 1265052633 is 147 N Brent St, Ventura, CA 93003-2809. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.
When was NPI 1265052633 issued?
NPI 1265052633 was first issued (enumerated) on 2020-04-25. The NPPES record was last updated on 2023-08-04.
Practice Location Map
Mariam Gheissari is located at 147 N Brent St, Ventura, CA. Use the map below to find directions or verify the practice location.
Related Healthcare Providers
The following providers share the same practice location, specialty, or state as Mariam Gheissari. All records sourced from the CMS NPPES registry.
License Information
The following state license numbers are on file in the NPPES registry for NPI 1265052633. For license status verification, contact the relevant state licensing board directly.
| Specialty / Taxonomy | License Number | State |
|---|---|---|
| Family Medicine | 19944 | CA |