MS. MARIANA CONCEPCION MOUALEM FNP
NPI 1003187915
Nurse Practitioner - Family in San Bernardino, CA

Active since January 24, 2012
1800 WESTERN AVE STE 305, SAN BERNARDINO, CA 92411(909) 880-9993(909) 880-9998 Get Directions Write a Review

NPPES record last updated: October 17, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 17, 2018, Jan 29, 2016 (2 updates tracked since 2016).

About Ms. Mariana Concepcion Moualem Fnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. MARIANA CONCEPCION MOUALEM FNP (NPI 1003187915) is an individual family provider in San Bernardino, California, licensed in California (21556) and active in the NPI registry since January 2012.

NPPES Registry Identity

NPI1003187915
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMS. MARIANA CONCEPCION MOUALEMCredential: FNP
Location Address1800 WESTERN AVE STE 305San Bernardino, CA 92411-1354
Mailing Address908 North Ardmore AveLos Angeles, CA 90029 · (626) 632-8795
Fax(909) 880-9998
Sole ProprietorYes
Enumeration DateJanuary 24, 2012
Last NPPES UpdateOctober 17, 20182 updates tracked since enumeration
NPI 1003187915 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in CA · 21556
1800 WESTERN AVE STE 305, San Bernardino, CA 92411

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pediatrics
1800 WESTERN AVE STE 305
SAN BERNARDINO, CA 92411
General Practice
1800 WESTERN AVE STE 305
SAN BERNARDINO, CA 92411
Nurse Practitioner (Family)
1800 WESTERN AVE STE 305
SAN BERNARDINO, CA 92411
Nurse Practitioner
1800 WESTERN AVE STE 305
SAN BERNARDINO, CA 92411
Nurse Practitioner
1800 WESTERN AVE STE 305
SAN BERNARDINO, CA 92411
Nurse Practitioner (Family)
1800 WESTERN AVE STE 305
SAN BERNARDINO, CA 92411

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mariana Moualem's NPI number?

The NPI number for Mariana Moualem is 1003187915. It was assigned to this individual provider in the NPPES registry on January 24, 2012.

Where is Mariana Moualem located?

Mariana Moualem practices at 1800 Western Ave Ste 305, San Bernardino, CA 92411. The listed phone number is (909) 880-9993.

What is Mariana Moualem's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Mariana Moualem was last updated on October 17, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.