MARIAM C AJMAL FNP
NPI 1104585090
Nurse Practitioner - Family in San Diego, CA

Active since December 08, 2021PECOS EnrolledAccepts Medicare Assignment
9663 TIERRA GRANDE ST STE 101, SAN DIEGO, CA 92126(858) 547-0077 Get Directions Write a Review

NPPES record last updated: December 8, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mariam C Ajmal Fnp NPPES

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

MARIAM C AJMAL FNP (NPI 1104585090) is an individual family provider in San Diego, California, licensed in California (95017543) and active in the NPI registry since December 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1104585090
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMARIAM C AJMALCredential: FNP
Location Address9663 TIERRA GRANDE ST STE 101San Diego, CA 92126-4569
Mailing Address17015 Bernardo Center Dr Apt ASan Diego, CA 92128-2593 · (818) 536-3573
Sole ProprietorYes
Medical School CMSOtherGraduated 2021
Enumeration DateDecember 8, 2021
NPPES CertifiedDecember 8, 2021
NPI 1104585090 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 · 95017543
9663 TIERRA GRANDE ST STE 101, San Diego, CA 92126

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Mariam C Ajmal Fnp 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 ID7719349646
PECOS Enrollment IDI20230809003012
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.

Areas of Expertise CMS Part B claims 8

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes 99348
An established patient home visit is a 25-minute appointment where a healthcare provider visits you at your home. This service is for patients who have previously been seen by the provider. It includes a check-up and discussion about your health concerns.
839 services39 patients
Therapy procedure for a range of mental processes, initial 15 minutes 97129
This therapy session, lasting 15 minutes, focuses on improving your mental processes. It's an initial step towards understanding your mental health needs. The therapist will engage in conversation, listen to your concerns, and help identify areas for improvement.
764 services38 patients
Measurement of brain wave activity (eeg), awake and drowsy 95816
Measurement of brain wave activity, also known as an EEG, is a non-invasive test that records electrical patterns in your brain. This procedure is done when you're awake and drowsy to understand how your brain functions during different states of consciousness.
646 services41 patients
Therapy procedure using sensory experiences 97533
This therapy procedure utilizes sensory experiences to help improve your cognitive functions and emotional regulation. It involves activities like listening to music, touching objects, or doing exercises, to stimulate your senses and support your healing process.
611 services33 patients
Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes 99349
An established patient home visit is a medical appointment conducted at your home, typically lasting around 40 minutes. This service is ideal for patients who may find it difficult to travel to a healthcare facility. During this visit, a healthcare professional will evaluate your health status, manage your care, and answer any health-related questions you may have.
501 services32 patients
Biofeedback training 90901
Biofeedback training is a technique that helps you learn to control certain body functions, like heart rate or blood pressure. Through this, you can improve your health by gaining more control over these functions. It's often used to manage stress, anxiety, or chronic pain.
407 services32 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92126 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$94.87 typical visit price
range $62.10 – $184.71
Typical copayment $23.71 (range $15.52 – $46.17)
Most-billed visit code 99203
Established Patient
$108.42 typical visit price
range $20.62 – $151.42
Typical copayment $27.10 (range $5.15 – $37.85)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

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

Nurse Practitioner
9663 TIERRA GRANDE ST STE 101
SAN DIEGO, CA 92126

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 Mariam Ajmal's NPI number?

The NPI number for Mariam Ajmal is 1104585090. It was assigned to this individual provider in the NPPES registry on December 8, 2021.

Where is Mariam Ajmal located?

Mariam Ajmal practices at 9663 Tierra Grande St Ste 101, San Diego, CA 92126. The listed phone number is (858) 547-0077.

What is Mariam Ajmal's specialty?

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

Is Mariam Ajmal enrolled in Medicare?

Yes. Mariam Ajmal 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.

When was this NPI record last updated?

The NPPES record for Mariam Ajmal was last updated on December 8, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.