MARYAM BANAN
NPI 1912780925
Nurse Practitioner in Riverside, CA

Q: What is Maryam Banan's NPI number?

The NPI number for Maryam Banan is 1912780925. It was assigned to this individual provider in the NPPES registry on August 15, 2023.

Q: What is Maryam Banan'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 Maryam Banan was last updated on December 4, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.

Active since August 15, 2023PECOS EnrolledAccepts Medicare Assignment

4445 MAGNOLIA AVE, RIVERSIDE, CA 92501(951) 788-3000 Get Directions Write a Review

NPPES record last updated: December 4, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 4, 2024, Aug 15, 2023 (2 updates tracked since 2023).

On this page

About Maryam Banan NPPES

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

MARYAM BANAN (NPI 1912780925) is an individual nurse practitioner in Riverside, California, licensed in California (95026109) and active in the NPI registry since August 2023. She is enrolled in Medicare PECOS, maintains a secondary practice location in Orange, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1912780925

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameMARYAM BANAN

Location Address4445 MAGNOLIA AVERiverside, CA 92501-4135

Mailing Address200 S Manchester Ave Ste 300Orange, CA 92868-3219 · (714) 456-8888

Phone(951) 788-3000

Sole ProprietorNo

Medical School CMSOtherGraduated 2023

Enumeration DateAugust 15, 2023

Last NPPES UpdateDecember 4, 20242 updates tracked since enumeration

NPPES CertifiedDecember 4, 2024

✔ NPI 1912780925 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in CA · 95026109

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.

Also ListedNurse Practitioner · Acute CareTaxonomy 363LA2100X · License 95026109 (CA)

4445 MAGNOLIA AVE, Riverside, CA 92501

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Secondary Practice Location 1

Location 1101 The City Dr SOrange, CA 92868 · Phone (714) 456-8888

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

Maryam Banan 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 ID4082068200

PECOS Enrollment IDI20230921002831

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 92501 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 20

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

MR. DAVID W LEVINE PA-C

Physician Assistant