MARY ANN KAZEM NP
NPI 1417005307
Nurse Practitioner in Anaheim, CA

Q: What is Mary Ann Kazem's NPI number?

The NPI number for Mary Ann Kazem is 1417005307. It was assigned to this individual provider in the NPPES registry on January 8, 2007.

Q: What is Mary Ann Kazem's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Mary Ann Kazem was last updated on November 30, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since January 08, 2007PECOS EnrolledAccepts Medicare Assignment

441 N LAKEVIEW AVE, ANAHEIM, CA 92807(888) 988-2800 Get Directions Write a Review

NPPES record last updated: November 30, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Mary Ann Kazem Np NPPES

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

MARY ANN KAZEM NP (NPI 1417005307) is an individual nurse practitioner in Anaheim, California, licensed in California (NP5486) and active in the NPI registry since January 2007. She is enrolled in Medicare PECOS and is a graduate of Other (1990).

NPPES Registry Identity

NPI1417005307

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameMARY ANN KAZEMCredential: NP

Location Address441 N LAKEVIEW AVEAnaheim, CA 92807-3028

Mailing Address441 N Lakeview AveAnaheim, CA 92807-3028 · (888) 988-2800

Phone(888) 988-2800

Sole ProprietorNo

Medical School CMSOtherGraduated 1990

Enumeration DateJanuary 8, 2007

Last NPPES UpdateNovember 30, 2021

✔ NPI 1417005307 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in CA · NP5486

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

441 N LAKEVIEW AVE, Anaheim, CA 92807

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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

Mary Ann Kazem 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 ID6204022361

PECOS Enrollment IDI20101201000518

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 92807 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.

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.

DINO A. IMPERIAL DO

Family Medicine