MARYAM GHOLIZADEH M.D.
NPI 1194724583
Surgery - Pediatric Surgery in Orange, CA
About Maryam Gholizadeh M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MARYAM GHOLIZADEH M.D. (NPI 1194724583) is an individual pediatric surgery provider in Orange, California, licensed in California (A83935) and active in the NPI registry since July 2005. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Accepted Insurance
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 Gholizadeh M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
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.
ORANGE, CA 92868
ORANGE, CA 92868
ORANGE, CA 92868
ORANGE, CA 92868
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 Maryam Gholizadeh's NPI number?
The NPI number for Maryam Gholizadeh is 1194724583. It was assigned to this individual provider in the NPPES registry on July 18, 2005.
Where is Maryam Gholizadeh located?
Maryam Gholizadeh practices at 1120 W La Veta Ave Ste. 100, Orange, CA 92868. The listed phone number is (714) 289-4704.
What is Maryam Gholizadeh's specialty?
The primary specialty registered for this NPI is Surgery, specializing in Pediatric Surgery, with taxonomy code 2086S0120X.
Is Maryam Gholizadeh enrolled in Medicare?
Yes. Maryam Gholizadeh is registered in the Medicare PECOS enrollment system.
What insurance does Maryam Gholizadeh accept?
Health plans from Moda Health Plan, Inc. and Providence Health Plan list Maryam Gholizadeh as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Maryam Gholizadeh was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 30 days 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.
# Maryam Gholizadeh, M.D. · NPI 1194724583
Pediatric Surgery physician in Orange, California. Individual provider, active in the CMS NPPES registry since July 18, 2005.
## Identity
- **NPI:** 1194724583 (Entity type: Individual)
- **Enumerated:** July 18, 2005
- **Primary specialty:** Surgery - Pediatric Surgery · taxonomy 2086S0120X
- **State license:** A83935 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 1120 W LA VETA AVE, STE. 100, Orange, CA 92868-4231
- **Phone:** (714) 289-4704
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** July 13, 2026
- **Other identifiers:** Medicaid 00A839350 (CA)
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Source: [NPI Profile](https://npiprofile.com/npi/1194724583) · Data from the CMS NPPES public registry.