Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Aissata Mariko, WHNP-BC

Individual provider Women's Health Nurse Practitioner · NPI 1093423964

Aissata Mariko, WHNP-BC is a Nurse Practitioner in Los Angeles, California. Qualified in 2022, 4 years ago. Practices with Southern California Permanente Medical Group, an 11,242-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
4
Licensed in
CA
In the registry since
2022
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Practice location Address checks out

400 W 30th St
Los Angeles, CA 90007-3320
Phone: (213) 284-3200
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Women's Health Nurse Practitioner (primary) Taxonomy 363LW0102X · Licence 95023139 (CA)

Record details

NPI number1093423964
Entity typeIndividual (Type 1)
GenderFemale
Credentials WHNP-BC
Sole proprietorNo
NPI enumeratedNovember 9, 2022
Last updated in NPPESOctober 15, 2024
Certification dateFebruary 8, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Southern California Permanente Medical Group — 11242 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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