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

Hera Maryam

Individual provider Infectious Disease Physician · NPI 1164047585

Hera Maryam is an Infectious Disease in Santa Monica, California. Graduated from Washington University School of Medicine in 2020, 6 years ago. Practices as a sole proprietor. Licensed in California.

Years since qualifying
6
Trained at
Washington University School of Medicine
Licensed in
CA
In the registry since
2020

Practice location Address checks out

1245 16th St Ste 307
Santa Monica, CA 90404-1239
Phone: (310) 481-4242
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Infectious Disease Physician (primary) Taxonomy 207RI0200X · Licence A188042 (CA)

Record details

NPI number1164047585
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJune 11, 2020
Last updated in NPPESAugust 3, 2026
Certification dateAugust 3, 2026

Medicare enrollment

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

Medicare specialtyINFECTIOUS DISEASE
Also practisesINTERNAL MEDICINE
Medical schoolWASHINGTON UNIVERSITY SCHOOL OF MEDICINE
Graduated 2020 (6 years in practice)
Accepts Medicare assignment Not indicated

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