MARYAM KAZI
NPI 1104533447
Marriage & Family Therapist in Costa Mesta, CA

Active since November 04, 2022PECOS EnrolledAccepts Medicare Assignment
2900 BRISTOL ST, COSTA MESTA, CA 92626(949) 436-6841 Get Directions Write a Review

NPPES record last updated: November 4, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Maryam Kazi NPPES

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

MARYAM KAZI (NPI 1104533447) is an individual marriage & family therapist in Costa Mesta, California, licensed in California (129226) and active in the NPI registry since November 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2010).

NPPES Registry Identity

NPI1104533447
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameMARYAM KAZI
Location Address2900 BRISTOL STCosta Mesta, CA 92626
Mailing Address1 League Unit 61291Irvine, CA 92602-7059
Sole ProprietorYes
Medical School CMSOtherGraduated 2010
Enumeration DateNovember 4, 2022
NPPES CertifiedNovember 2, 2022
✔ NPI 1104533447 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
License✔ Licensed in CA · 129226
Definition
A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.
2900 BRISTOL ST, Costa Mesta, CA 92626

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Maryam Kazi is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7113466434
PECOS Enrollment IDI20240829003077
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Maryam Kazi reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Mental Health
5060 SHOREHAM PL STE 330
San Diego, CA 92122
  • Reassigned Medicare billing, California enrollment
  • 245 clinicians in this Medicare group
Mental Health
99 S ALMADEN BLVD STE 600
San Jose, CA 95113
  • Reassigned Medicare billing, California enrollment
  • 3,139 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 20

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

Chiropractor
2900 BRISTOL ST, C105
COSTA MESA, CA 92626
Marriage & Family Therapist
2900 BRISTOL ST, SUITE G201
COSTA MESA, CA 92626
Marriage & Family Therapist
2900 BRISTOL ST, J-204
COSTA MESA, CA 92626
Clinic/Center (Adult Mental Health)
2900 BRISTOL ST, BLDG. J-206
COSTA MESA, CA 92626
Massage Therapist
2900 BRISTOL ST
COSTA MESA, CA 92626
Home Health
2900 BRISTOL ST, SUITE D108
COSTA MESA, CA 92626
Dentist (General Practice)
2900 BRISTOL ST, SUITE C-102
COSTA MESA, CA 92626
Psychologist (Clinical)
2900 BRISTOL ST, STE A108
COSTA MESA, CA 92626

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 Maryam Kazi's NPI number?

The NPI number for Maryam Kazi is 1104533447. It was assigned to this individual provider in the NPPES registry on November 4, 2022.

Where is Maryam Kazi located?

Maryam Kazi practices at 2900 Bristol St, Costa Mesta, CA 92626. The listed phone number is (949) 436-6841.

What is Maryam Kazi's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Is Maryam Kazi enrolled in Medicare?

Yes. Maryam Kazi is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Maryam Kazi's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Maryam Kazi reassigns Medicare benefits to 2 organizations: Sokyahealth Medical Group PC (San Diego, CA) and Grow Healthcare Group PC (San Jose, CA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Maryam Kazi's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Maryam Kazi was last updated on November 4, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.