MARYAM FATHY DNP, MSN, RN, NP-C
NPI 1114255411
Nurse Practitioner - Primary Care in Laguna Hills, CA

Q: What is Maryam Fathy's NPI number?

The NPI number for Maryam Fathy is 1114255411. It was assigned to this individual provider in the NPPES registry on November 24, 2009.

Q: What is Maryam Fathy's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

Q: When was this NPI record last updated?

The NPPES record for Maryam Fathy was last updated on May 20, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since November 24, 2009PECOS Enrolled

24451 HEALTH CENTER DR, LAGUNA HILLS, CA 92653(949) 424-9730(949) 452-7599 Get Directions Write a Review

NPPES record last updated: May 20, 2015. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Maryam Fathy Dnp, Msn, Rn, Np-c NPPES

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

MARYAM FATHY DNP, MSN, RN, NP-C (NPI 1114255411) is an individual primary care provider in Laguna Hills, California, licensed in California (21935) and active in the NPI registry since November 2009. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1114255411

Entity TypeIndividualFemale

Primary Taxonomy363LP2300X

Provider Legal NameMARYAM FATHYCredential: DNP, MSN, RN, NP-C

Location Address24451 HEALTH CENTER DRLaguna Hills, CA 92653-3689

Mailing Address24451 Health Center DrLaguna Hills, CA 92653-3689

Phone(949) 424-9730

Fax(949) 452-7599

Sole ProprietorNo

Enumeration DateNovember 24, 2009

Last NPPES UpdateMay 20, 2015

✔ NPI 1114255411 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP2300X

Licenses✔ Licensed in CA · 21935✔ Licensed in MI · 4704259944

24451 HEALTH CENTER DR, Laguna Hills, CA 92653

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Maryam Fathy Dnp, Msn, Rn, Np-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92653 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

$96.36 typical visit price

range $62.96 – $187.60

Typical copayment $24.09 (range $15.74 – $46.90)

Most-billed visit code 99203

Established Patient

$109.96 typical visit price

range $20.84 – $153.61

Typical copayment $27.49 (range $5.21 – $38.40)

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.

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