MARYAM POURJALIL NP
NPI 1114791910
Nurse Practitioner - Family in Tarzana, CA

Q: What is Maryam Pourjalil's NPI number?

The NPI number for Maryam Pourjalil is 1114791910. It was assigned to this individual provider in the NPPES registry on November 13, 2023.

Q: What is Maryam Pourjalil's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Maryam Pourjalil was last updated on November 13, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since November 13, 2023PECOS EnrolledAccepts Medicare Assignment

18321 CLARK ST, TARZANA, CA 91356(310) 567-9229 Get Directions Write a Review

NPPES record last updated: November 13, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Maryam Pourjalil Np NPPES

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

MARYAM POURJALIL NP (NPI 1114791910) is an individual family provider in Tarzana, California, licensed in California (95028015) and active in the NPI registry since November 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1114791910

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameMARYAM POURJALILCredential: NP

Location Address18321 CLARK STTarzana, CA 91356-3501

Mailing Address18321 Clark StTarzana, CA 91356-3501 · (310) 567-9229

Phone(310) 567-9229

Sole ProprietorYes

Medical School CMSOtherGraduated 2025

Enumeration DateNovember 13, 2023

NPPES CertifiedNovember 12, 2023

✔ NPI 1114791910 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 · 95028015

18321 CLARK ST, Tarzana, CA 91356

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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 and accepts Medicare assignment

Maryam Pourjalil Np 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 ID2062993439

PECOS Enrollment IDI20260224001981

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 91356 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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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.

DR. JONATHAN ANDREW PRINCE M.D.

Emergency Medicine