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MARIAM BASTAWROUS
NPI 1184479412
Student in an Organized Health Care Education/Training Program in San Diego, CA

Active since April 19, 2024
9055 BALBOA AVE, SAN DIEGO, CA 92123(619) 849-7974 Get Directions Write a Review

NPPES record last updated: April 19, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mariam Bastawrous NPPES

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

MARIAM BASTAWROUS (NPI 1184479412) is an individual student in an organized health care education/training program in San Diego, California and active in the NPI registry since April 2024.

NPPES Registry Identity

NPI1184479412
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameMARIAM BASTAWROUS
Location Address9055 BALBOA AVESan Diego, CA 92123-1509
Mailing Address9055 Balboa AveSan Diego, CA 92123-1509
Phone(619) 849-7974
Sole ProprietorNo
Enumeration DateApril 19, 2024
NPPES CertifiedApril 19, 2024
✔ NPI 1184479412 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
9055 BALBOA AVE, San Diego, CA 92123
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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.

MEGAN ANN CHAMBERS
Student in an Organized Health Care Education/Training Program
9055 BALBOA AVE
SAN DIEGO, CA 92123
San Diego County (619) 849-3331
RYLEE HANNAH NELSEN I
Student in an Organized Health Care Education/Training Program
9055 BALBOA AVE
SAN DIEGO, CA 92123
San Diego County (619) 849-3331
ALICIA JOANNE HENSON PA
Student in an Organized Health Care Education/Training Program
9055 BALBOA AVE
SAN DIEGO, CA 92123
San Diego County (619) 329-6799
NIDA EJAZ
Student in an Organized Health Care Education/Training Program
9055 BALBOA AVE
SAN DIEGO, CA 92123
San Diego County (619) 849-3331
ANGELINA JILIS HARGROVE
Specialist/Technologist (Athletic Trainer)
9055 BALBOA AVE
SAN DIEGO, CA 92123
San Diego County (619) 329-6799
MICHAEL F STATZULA
Student in an Organized Health Care Education/Training Program
9055 BALBOA AVE
SAN DIEGO, CA 92123
San Diego County (505) 980-0259
ANNE VANDERWEIDE
Specialist/Technologist (Athletic Trainer)
9055 BALBOA AVE
SAN DIEGO, CA 92123
San Diego County (907) 632-1748
DYLAN SIMMONS
Student in an Organized Health Care Education/Training Program
9055 BALBOA AVE
SAN DIEGO, CA 92123
San Diego County (619) 849-3331

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 Bastawrous's NPI number?

The NPI number for Mariam Bastawrous is 1184479412. It was assigned to this individual provider in the NPPES registry on April 19, 2024.

Where is Mariam Bastawrous located?

Mariam Bastawrous practices at 9055 Balboa Ave, San Diego, CA 92123. The listed phone number is (619) 849-7974.

What is Mariam Bastawrous's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Mariam Bastawrous was last updated on April 19, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.