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MARYAM NATEGHI
NPI 1780018184
Counselor - Professional in Folsom, CA

Active since August 21, 2013PECOS Enrolled
25005 BLUE RAVINE RD STE 110-218, FOLSOM, CA 95630(323) 968-6182 Get Directions Write a Review

NPPES record last updated: June 26, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jun 22, 2023, Dec 7, 2015 (2 updates tracked since 2015).

About Maryam Nateghi NPPES

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

MARYAM NATEGHI (NPI 1780018184) is an individual professional provider in Folsom, California, licensed in California (6487) and active in the NPI registry since August 2013. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1780018184
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameMARYAM NATEGHI
Location Address25005 BLUE RAVINE RD STE 110-218Folsom, CA 95630-5700
Mailing Address25005 Blue Ravine Rd Ste 110-218Folsom, CA 95630-5700
Phone(323) 968-6182
Sole ProprietorYes
Enumeration DateAugust 21, 2013
Last NPPES UpdateJune 26, 20232 updates tracked since enumeration
NPPES CertifiedJune 26, 2023
✔ NPI 1780018184 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in CA · 6487
25005 BLUE RAVINE RD STE 110-218, Folsom, CA 95630
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Maryam Nateghi 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.

Medicare Billing Reassignments

2

Medicare enrollment records show Maryam Nateghi reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Sud Specialty Group - Ca
101 mi
Addiction Medicine
4633 OLD IRONSIDES DR STE 304
Santa Clara, CA 95054
  • Reassigned Medicare billing, California enrollment
  • 1,607 clinicians in this Medicare group
NPI 1972138238 (323) 205-7088
Grow Healthcare Group PC
103 mi
Mental Health
99 S ALMADEN BLVD STE 600
San Jose, CA 95113
  • Reassigned Medicare billing, California enrollment
  • 3,139 clinicians in this Medicare group
NPI 1154994846 (408) 402-4385

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Nateghi's NPI number?

The NPI number for Maryam Nateghi is 1780018184. It was assigned to this individual provider in the NPPES registry on August 21, 2013.

Where is Maryam Nateghi located?

Maryam Nateghi practices at 25005 Blue Ravine Rd Ste 110-218, Folsom, CA 95630. The listed phone number is (323) 968-6182.

What is Maryam Nateghi's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Maryam Nateghi enrolled in Medicare?

Yes. Maryam Nateghi is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Maryam Nateghi's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Maryam Nateghi reassigns Medicare benefits to 2 organizations: Sud Specialty Group - Ca (Santa Clara, CA) and Grow Healthcare Group PC (San Jose, CA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Maryam Nateghi's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Maryam Nateghi was last updated on June 26, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.