| Maryam Banan, | |
|
4445 Magnolia Ave, Riverside, CA 92501-4135 | |
| (951) 788-3000 | |
| Not Available |
| Full Name | Maryam Banan |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 3 Years |
| Location | 4445 Magnolia Ave, Riverside, California |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912780925 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LA2100X | Nurse Practitioner - Acute Care | 95026109 (California) | Secondary |
| 363L00000X | Nurse Practitioner | 95026109 (California) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| University Of California Irvine Medical Center | Orange, CA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| University Surgeons Of Orange A Medical Group | 6901705227 | 124 |
| Entity Name | The Regents Of The University Of California-irvine |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1154479723 PECOS PAC ID: 3971609611 Enrollment ID: O20070426000308 |
| Entity Name | El-bershawi Medical Corp |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1386813103 PECOS PAC ID: 9032298492 Enrollment ID: O20080509000414 |
| Mailing Address | Practice Location Address |
|---|---|
| Maryam Banan, 200 S Manchester Ave Ste 300, Orange, CA 92868-3219 Ph: (714) 456-8888 | Maryam Banan, 4445 Magnolia Ave, Riverside, CA 92501-4135 Ph: (951) 788-3000 |
Alice Chinyere Echeta, FNP, PMHNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4960 Arlington Ave Ste B, Riverside, CA 92504 Phone: 951-341-8930 | |
Obianuju Rivera, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3801 University Ave Ste 270, Riverside, CA 92501 Phone: 855-427-2778 Fax: 951-530-3997 | |
Luamy Gabriela Cornejo, PNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4440 Brockton Ave Ste 100, Riverside, CA 92501 Phone: 951-684-1293 | |
Christine Pham Duong, DNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5549 Van Buren Blvd, Riverside, CA 92503 Phone: 951-324-5901 Fax: 877-778-9472 | |
Namrata Nicole Sihotang, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 19330 Jesse Ln Ste 100, Riverside, CA 92508 Phone: 844-827-8000 | |
Liliana Amaya, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3419 Eucalyptus Ave, Riverside, CA 92507 Phone: 951-218-4016 | |
Helen Landayan Lo, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 7140 Indiana Avenue, Riverside, CA 92503 Phone: 951-358-6037 |