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MARYAM MORTEZAIEFARD D.O.
NPI 1285653196
Internal Medicine in West Hills, CA

Active since July 19, 2006PECOS EnrolledAccepts Medicare Assignment
22110 ROSCOE BLVD, SUITE 100, WEST HILLS, CA 91304(818) 888-8042 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Maryam Mortezaiefard D.o. NPPES

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

MARYAM MORTEZAIEFARD D.O. (NPI 1285653196) is an individual internal medicine provider in West Hills, California, licensed in California (20A7100) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS and is a graduate of Des Moines University Of Osteopathic Medicine And Health Sciences (1996).

NPPES Registry Identity

NPI1285653196
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameMARYAM MORTEZAIEFARDCredential: D.O.
Location Address22110 ROSCOE BLVD, SUITE 100West Hills, CA 91304-3845
Mailing Address22110 Roscoe Blvd, Suite 100West Hills, CA 91304-3845 · (818) 888-8042
Phone(818) 888-8042
Sole ProprietorYes
Medical School CMSDes Moines University Of Osteopathic Medicine And Health SciencesGraduated 1996
Enumeration DateJuly 19, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1285653196 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in CA · 20A7100
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
22110 ROSCOE BLVD, West Hills, CA 91304
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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 Mortezaiefard D.o. 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 ID7315843471
PECOS Enrollment IDI20031209001077
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 6

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.

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
364 services60 patients
Destruction of precancer skin growth, 1 growth 17000
"Destruction of precancer skin growth" is a procedure that eliminates a single precancerous skin growth. This is done to prevent it from developing into skin cancer. The growth may be removed using various methods such as cryotherapy (freezing), laser therapy, or topical medications.
44 services31 patients
Destruction of precancer skin growth, 2-14 growths 17003
This procedure involves removing 2-14 precancerous skin growths. The growths are treated to prevent them from potentially developing into skin cancer. The process is safe, with minimal discomfort, and promotes healthier skin.
44 services31 patients
Injection of drug or substance under skin or into muscle 96372
This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.
42 services27 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
17 services17 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
12 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 91304 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
$142.39 typical visit price
range $62.96 – $187.60
Typical copayment $35.59 (range $15.74 – $46.90)
Most-billed visit code 99204
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.

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.

MY GASTRO WELLNESS. LLC
Internal Medicine (Gastroenterology)
22110 ROSCOE BLVD, SUITE 201
CANOGA PARK, CA 91304
Los Angeles County (747) 204-4177
KELLY WILLARD
Case Manager/Care Coordinator
22110 ROSCOE BLVD, SUITE 204
CANOGA PARK, CA 91304
Los Angeles County (818) 713-8700
VALLEY FOOT HEALTH CTR INC
Podiatrist
22110 ROSCOE BLVD, #201
CANOGA PARK, CA 91304
Los Angeles County (818) 716-6964
DR. EDGAR LACANLALE MASANGKAY D.C.
Chiropractor
22110 ROSCOE BLVD, #103
WEST HILLS, CA 91304
Los Angeles County (818) 716-9924
MS. SUSAN E BURGER F.N.P
Nurse Practitioner (Women's Health)
22110 ROSCOE BLVD, SUITE 104
WEST HILLS, CA 91304
Los Angeles County (818) 704-6696
VALLEY WOMEN'S CENTER
Case Management
22110 ROSCOE BLVD, SUITE 204
CANOGA PARK, CA 91304
Los Angeles County (818) 713-8700
SUSAN ARMOUR
Counselor (Addiction (Substance Use Disorder))
22110 ROSCOE BLVD
CANOGA PARK, CA 91304
Los Angeles County (818) 713-8700
LEADING MEDICAL GROUP INC.
Physical Medicine & Rehabilitation (Pain Medicine)
22110 ROSCOE BLVD, SUITE 304
WEST HILLS, CA 91304
Los Angeles County (818) 703-1511

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 Mortezaiefard's NPI number?

The NPI number for Maryam Mortezaiefard is 1285653196. It was assigned to this individual provider in the NPPES registry on July 19, 2006.

Where is Maryam Mortezaiefard located?

Maryam Mortezaiefard practices at 22110 Roscoe Blvd Suite 100, West Hills, CA 91304. The listed phone number is (818) 888-8042.

What is Maryam Mortezaiefard's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Maryam Mortezaiefard enrolled in Medicare?

Yes. Maryam Mortezaiefard is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Maryam Mortezaiefard was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.