MIRIAM ELIZABETH MIRMOTAHARI NP
NPI 1851911135
Nurse Practitioner - Family in San Jacinto, CA

Q: What is Miriam Mirmotahari's NPI number?

The NPI number for Miriam Mirmotahari is 1851911135. It was assigned to this individual provider in the NPPES registry on April 16, 2020.

Q: What is Miriam Mirmotahari's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Active since April 16, 2020PECOS EnrolledAccepts Medicare Assignment

1695 S SAN JACINTO AVE STE A, SAN JACINTO, CA 92583(951) 330-3100(951) 350-1050 Get Directions Write a Review

NPPES record last updated: August 18, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Aug 18, 2026, Mar 4, 2026, Oct 11, 2024 and 2 more (5 updates tracked since 2020).

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About Miriam Elizabeth Mirmotahari Np NPPES

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

MIRIAM ELIZABETH MIRMOTAHARI NP (NPI 1851911135) is an individual family provider in San Jacinto, California, licensed in California (95019163) and active in the NPI registry since April 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1851911135

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameMIRIAM ELIZABETH MIRMOTAHARICredential: NP

Location Address1695 S SAN JACINTO AVE STE ASan Jacinto, CA 92583-5103

Mailing Address1695 S San Jacinto Ave Ste ASan Jacinto, CA 92583-5103 · (951) 330-3100 · Fax (951) 350-1050

Phone(951) 330-3100

Fax(951) 350-1050

Sole ProprietorNo

Medical School CMSOtherGraduated 2021

Enumeration DateApril 16, 2020

Last NPPES UpdateAugust 18, 20265 updates tracked since enumeration

NPPES CertifiedAugust 18, 2026

✔ NPI 1851911135 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in CA · 95019163

1695 S SAN JACINTO AVE STE A, San Jacinto, CA 92583

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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 and accepts Medicare assignment

Miriam Elizabeth Mirmotahari 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 ID4688049935

PECOS Enrollment IDI20230425000529

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 Reassignment

Medicare enrollment records show Miriam Mirmotahari reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Tobias Moeller-Bertram MD Corporation

32 mi

Pain Medicine

36101 BOB HOPE DR STE A
Rancho Mirage, CA 92270

Reassigned Medicare billing, California enrollment
75 clinicians in this Medicare group

NPI 1922440684 (760) 321-1315

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

Areas of Expertise CMS Part B claims

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 moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

123 services100 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92583 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

$91.88 typical visit price

range $59.60 – $179.42

Typical copayment $22.97 (range $14.90 – $44.85)

Most-billed visit code 99203

Established Patient

$104.64 typical visit price

range $19.37 – $146.42

Typical copayment $26.16 (range $4.84 – $36.60)

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 6

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

LISA GARCIA FNP

Nurse Practitioner (Family)