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MARIAM HANNA ERVIN PA-C
NPI 1134620768
Physician Assistant in San Bernardino, CA

Active since February 28, 2018PECOS Enrolled
355 E 21ST ST STE F, SAN BERNARDINO, CA 92404(909) 886-5251 Get Directions Write a Review

NPPES record last updated: February 28, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mariam Hanna Ervin Pa-c NPPES

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

MARIAM HANNA ERVIN PA-C (NPI 1134620768) is an individual physician assistant in San Bernardino, California, licensed in California (55370) and active in the NPI registry since February 2018. She is enrolled in Medicare PECOS and is a graduate of University Of California, Davis School Of Medicine (2017).

NPPES Registry Identity

NPI1134620768
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMARIAM HANNA ERVINCredential: PA-C
Location Address355 E 21ST ST STE FSan Bernardino, CA 92404-4851
Mailing Address7608 Plumaria DrFontana, CA 92336-1657
Phone(909) 886-5251
Sole ProprietorNo
Medical School CMSUniversity Of California, Davis School Of MedicineGraduated 2017
Enumeration DateFebruary 28, 2018
✔ NPI 1134620768 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in CA · 55370
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
355 E 21ST ST STE F, San Bernardino, CA 92404
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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)

Mariam Hanna Ervin Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7719377746
PECOS Enrollment IDI20211207001758
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 3

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.

Cervical or vaginal cancer screening; pelvic and clinical breast examination G0101
This procedure involves checking for health issues in the lower abdomen and chest area. It helps identify early signs of certain conditions, increasing the chance for successful treatment. It's a routine check-up that's important for maintaining good health.
17 services17 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
16 services11 patients
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory Q0091
A Papanicolaou smear, often called a Pap smear, is a test to check for changes in cells. A small sample is gently collected from the lower region and sent to a lab for examination. This helps in early detection of potential health issues.
11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92404 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
$91.88 typical visit price
range $59.60 – $179.42
Typical copayment $22.97 (range $14.90 – $44.85)
Most-billed visit code 99203
Established Patient
$74.08 typical visit price
range $19.37 – $146.42
Typical copayment $18.52 (range $4.84 – $36.60)
Most-billed visit code 99213
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 3

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

DR. PONTEAH DAMIRCHI MD
Family Medicine
355 E 21ST ST STE F
SAN BERNARDINO, CA 92404
San Bernardino County (909) 886-5251
C DAMIRCHI M D INC
Family Medicine
355 E 21ST ST STE F
SAN BERNARDINO, CA 92404
San Bernardino County (909) 886-5251
CYRUS DAMIRCHI M.D.
Family Medicine
355 E 21ST ST STE F
SAN BERNARDINO, CA 92404
San Bernardino County (909) 886-5251

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 Ervin's NPI number?

The NPI number for Mariam Ervin is 1134620768. It was assigned to this individual provider in the NPPES registry on February 28, 2018.

Where is Mariam Ervin located?

Mariam Ervin practices at 355 E 21st St Ste F, San Bernardino, CA 92404. The listed phone number is (909) 886-5251.

What is Mariam Ervin's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Mariam Ervin enrolled in Medicare?

Yes. Mariam Ervin is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Mariam Ervin was last updated on February 28, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.