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Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

MARYAM MAHMOODI DEEZAJE DDS
NPI 1508794710
Student in an Organized Health Care Education/Training Program in Sacramento, CA

Active since May 11, 2026
77 CADILLAC DR STE 200, SACRAMENTO, CA 95825(916) 454-2345 Get Directions Write a Review

NPPES record added: May 11, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Maryam Mahmoodi Deezaje Dds NPPES

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

MARYAM MAHMOODI DEEZAJE DDS (NPI 1508794710) is an individual student in an organized health care education/training program in Sacramento, California and active in the NPI registry since May 2026.

NPPES Registry Identity

NPI1508794710
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameMARYAM MAHMOODI DEEZAJECredential: DDS
Location Address77 CADILLAC DR STE 200Sacramento, CA 95825-8337
Mailing Address3301 5th AveSacramento, CA 95817-3101
Phone(916) 454-2345
Sole ProprietorYes
Enumeration DateMay 11, 2026
NPPES CertifiedMay 10, 2026
✔ NPI 1508794710 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.
77 CADILLAC DR STE 200, Sacramento, CA 95825
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Other Providers at the Same Location NPPES 6

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

MS. TARA LYNN FAVIS NP-C
Nurse Practitioner (Family)
77 CADILLAC DR STE 200
SACRAMENTO, CA 95825
Sacramento County (916) 454-2345
KEARIESHA NATALEE ADDISON SAMUELS
Nurse Practitioner (Primary Care)
77 CADILLAC DR STE 200
SACRAMENTO, CA 95825
Sacramento County (916) 569-8484
ELICA HEALTH CENTERS
Clinic/Center (Federally Qualified Health Center (FQHC))
77 CADILLAC DR STE 200
SACRAMENTO, CA 95825
Sacramento County (916) 454-2345
JAYMEE LEAK MATTHEWS FNP-C
Nurse Practitioner (Family)
77 CADILLAC DR STE 200
SACRAMENTO, CA 95825
Sacramento County (916) 454-2345
AREZOU PARSIAN CNP
Nurse Practitioner (Family)
77 CADILLAC DR STE 200
SACRAMENTO, CA 95825
Sacramento County (916) 454-2345
DR. ANNIE CHI NGO BARNES D.D.S.
Dentist (General Practice)
77 CADILLAC DR STE 200
SACRAMENTO, CA 95825
Sacramento County (916) 454-2345

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 Mahmoodi Deezaje's NPI number?

The NPI number for Maryam Mahmoodi Deezaje is 1508794710. It was assigned to this individual provider in the NPPES registry on May 11, 2026.

Where is Maryam Mahmoodi Deezaje located?

Maryam Mahmoodi Deezaje practices at 77 Cadillac Dr Ste 200, Sacramento, CA 95825. The listed phone number is (916) 454-2345.

What is Maryam Mahmoodi Deezaje'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 Maryam Mahmoodi Deezaje was last updated on May 11, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.