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MARYAM MOHAMADI
NPI 1982589222
Dentist - General Practice in San Luis Obispo, CA

Active since August 06, 2025
3870 BROAD ST STE 1, SAN LUIS OBISPO, CA 93401(805) 309-0467 Get Directions Write a Review

NPPES record last updated: August 6, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Maryam Mohamadi NPPES

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

MARYAM MOHAMADI (NPI 1982589222) is an individual general practice provider in San Luis Obispo, California, licensed in California (112185) and active in the NPI registry since August 2025.

NPPES Registry Identity

NPI1982589222
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameMARYAM MOHAMADI
Location Address3870 BROAD ST STE 1San Luis Obispo, CA 93401-7172
Mailing Address1889 Vicente DrSan Luis Obispo, CA 93405-6856 · (805) 215-4703
Phone(805) 309-0467
Sole ProprietorNo
Enumeration DateAugust 6, 2025
NPPES CertifiedJuly 27, 2025
✔ NPI 1982589222 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in CA · 112185
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
3870 BROAD ST STE 1, San Luis Obispo, CA 93401
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Florida Combined Life, Humana.Insurance ›

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.

APURVA SHARMA
Dentist (General Practice)
3870 BROAD ST STE 1
SAN LUIS OBISPO, CA 93401
San Luis Obispo County (805) 202-4988
FARNAZ MOHAMMADI
Dentist
3870 BROAD ST STE 1
SAN LUIS OBISPO, CA 93401
San Luis Obispo County (805) 202-4988
ANDREA BELEN ARRIAGA
Dentist
3870 BROAD ST STE 1
SAN LUIS OBISPO, CA 93401
San Luis Obispo County (805) 309-0467
RADHOUAN GAZOUANI
Student in an Organized Health Care Education/Training Program
3870 BROAD ST STE 1
SAN LUIS OBISPO, CA 93401
San Luis Obispo County (805) 202-4988
KOUSHAN AZAD DENTAL CORPOPRATION
Clinic/Center (Dental)
3870 BROAD ST STE 1
SAN LUIS OBISPO, CA 93401
San Luis Obispo County (630) 624-5788
FARNAM AHMADI MOSHTAGHIN
Dentist
3870 BROAD ST STE 1
SAN LUIS OBISPO, CA 93401
San Luis Obispo County (805) 214-4071

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 Mohamadi's NPI number?

The NPI number for Maryam Mohamadi is 1982589222. It was assigned to this individual provider in the NPPES registry on August 6, 2025.

Where is Maryam Mohamadi located?

Maryam Mohamadi practices at 3870 Broad St Ste 1, San Luis Obispo, CA 93401. The listed phone number is (805) 309-0467.

What is Maryam Mohamadi's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

What insurance does Maryam Mohamadi accept?

Health plans from Anthem Blue Cross and Blue Shield, Florida Combined Life and Humana list Maryam Mohamadi as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Maryam Mohamadi was last updated on August 6, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.