Maryam Farazha, MD - Medicare Family Practice in Santa Monica, CA

Maryam Farazha, MD is a medicare enrolled "Family Medicine" physician in Santa Monica, California. She graduated from medical school in 2000 and has 24 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice Providence Saint Johns Medical Foundation and her current practice location is 1821 Wilshire Blvd Ste 100, Santa Monica, California. You can reach out to her office (for appointments etc.) via phone at (310) 575-3100.

Maryam Farazha is licensed to practice in California (license number A101291) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1063416840.

Contact Information

Maryam Farazha, MD
1821 Wilshire Blvd Ste 100,
Santa Monica, CA 90403-5627
(310) 575-3100
(310) 575-3102

Map and Direction




Physician's Profile

Full NameMaryam Farazha
GenderFemale
SpecialityFamily Practice
Experience24 Years
Location1821 Wilshire Blvd Ste 100, Santa Monica, California
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Maryam Farazha graduated from medical school in 2000
  NPI Data:
  • NPI Number: 1063416840
  • Provider Enumeration Date: 06/09/2005
  • Last Update Date: 03/31/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 3870486103
  • Enrollment ID: I20150827000611

Medical Identifiers

Medical identifiers for Maryam Farazha such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1063416840NPI-NPPES
8127890OtherMDMAMSI
K249 0002OtherMDCAREFIRST BLUE CHOICE
64147501OtherMDCAREFIRST BC/BS OF MD

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine D0060512 (Maryland)Secondary
207Q00000XFamily Medicine A101291 (California)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Providence Saint John's Health CenterSanta monica, CAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Providence Saint Johns Medical Foundation0840548624273

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Maryam Farazha allows following entities to bill medicare on her behalf.
Entity NameProvidence Saint Johns Medical Foundation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1518438712
PECOS PAC ID: 0840548624
Enrollment ID: O20180810000904

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Maryam Farazha is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Maryam Farazha, MD
1821 Wilshire Blvd Ste 100,
Santa Monica, CA 90403-5627

Ph: (310) 575-3100
Maryam Farazha, MD
1821 Wilshire Blvd Ste 100,
Santa Monica, CA 90403-5627

Ph: (310) 575-3100

Reviews and Comments


Family Medicine Doctors in Santa Monica, CA

Dr. Jamie Ann Elson-wolin, M.D.
Family Medicine
Medicare: May Accept Medicare Assignments
Practice Location: 2121 Wilshire Blvd, Suite 306, Santa Monica, CA 90403
Phone: 310-264-0765    Fax: 310-829-0765
Dr. Patricia Yee-ling Chang, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1131 Wilshire Blvd, Suite 300, Santa Monica, CA 90401
Phone: 310-395-5588    
Meron Abreham, MD
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 1920 Colorado Ave, Santa Monica, CA 90404
Phone: 310-319-4700    
Martin Louis Alpert, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 2811 Wilshire Blvd Ste 810, Santa Monica, CA 90403
Phone: 310-393-0739    Fax: 310-395-2063
Olivia Taeko Ishibashi, MD, MPH
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1920 Colorado Ave, Santa Monica, CA 90404
Phone: 310-319-4711    
Edison Victor De Mello, MD PHD
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 520 Arizona Avenue, Santa Monica, CA 90401
Phone: 310-451-8880    Fax: 310-451-8803
Dr. Brian Yoshio Laing, M.D.
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 1920 Colorado Ave, Santa Monica, CA 90404
Phone: 310-319-4700    Fax: 310-453-5106

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.