DR. MARYAM ARDALAN MD NPI 1396936217

NPI Information

NPI: 1396936217
Provider Name: DR. MARYAM ARDALAN, MD
Classification: Obstetrics & Gynecology - 207VX0000X
Entity Type: Individual

Specialization: Obstetrics

PECOS Registration: Yes

Address:
25425 ORCHARD VILLAGE RD STE 270
SANTA CLARITA, CA
ZIP 91355
Phone: (661) 260-1282
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DR. Maryam Ardalan, MD is an obstetrics obstetrics gynecology in Santa Clarita, CA with 32 years of experience. The provider is a physician who specializes in diagnosis, treatment, and management of patients with obstetric conditions. Source: National Uniform Claim Committee DR. Maryam Ardalan, MD NPI is 1396936217. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

25425 ORCHARD VILLAGE RD STE 270
SANTA CLARITA, CA
ZIP 91355-958
Phone: (661) 260-1282
Fax: (661) 414-8047

The NPI 1396936217 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 8/6/2007 and was last updated on 2/22/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207VX0000X	Obstetrics & Gynecology	Obstetrics	A102198	CALIFORNIA	Yes
2	207V00000X	Obstetrics & Gynecology		A102198	CALIFORNIA	No
3	207VG0400X	Obstetrics & Gynecology	Gynecology	A102198	CALIFORNIA	No

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	00A1021980	MEDICAID	CALIFORNIA
2	0A1021980	OTHER	CALIFORNIA	BLUE SHIELD

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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