DR. MARYAM FORTANI
NPI 1649378928
Family Medicine in Pleasanton, CA

Q: What is the provider's specialty?

The provider's specialty is Family Medicine with taxonomy code 207Q00000X.

Active since September 20, 2006PECOS Enrolled

4361 RAILROAD AVE, PLEASANTON, CA 94566(925) 201-6021(925) 201-6091 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Dr. Maryam Fortani NPPES

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

DR. MARYAM FORTANI (NPI 1649378928) is an individual family medicine provider in Pleasanton, California, licensed in California (A82319) and active in the NPI registry since September 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1649378928

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameDR. MARYAM FORTANI

Location Address4361 RAILROAD AVEPleasanton, CA 94566-6611

Mailing Address4361 Railroad AvePleasanton, CA 94566-6611 · (925) 201-6021 · Fax (925) 201-6091

Phone(925) 201-6021

Fax(925) 201-6091

Sole ProprietorNo

Enumeration DateSeptember 20, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1649378928 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in CA · A82319

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

4361 RAILROAD AVE, Pleasanton, CA 94566

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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 (PECOS)

Dr. Maryam Fortani is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 94566 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

$104.51 typical visit price

range $69.00 – $202.35

Typical copayment $26.12 (range $17.25 – $50.58)

Most-billed visit code 99203

Established Patient

$119.48 typical visit price

range $23.44 – $166.46

Typical copayment $29.87 (range $5.86 – $41.61)

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.