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

Mariam C Ajmal, FNP

Individual provider Family Nurse Practitioner · NPI 1104585090

Mariam C Ajmal, FNP is a Nurse Practitioner in San Diego, California. Qualified in 2021, 5 years ago. Practices with Del Sur Healthcare, a 61-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
5
Licensed in
CA
In the registry since
2021
What do these letters mean?
FNP — Family Nurse Practitioner
A nurse practitioner who treats patients of all ages, much like a family doctor.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

9663 Tierra Grande St Ste 101
San Diego, CA 92126-4569
Phone: (858) 547-0077
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 95017543 (CA)

Record details

NPI number1104585090
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP
Sole proprietorYes
NPI enumeratedDecember 8, 2021
Last updated in NPPESDecember 8, 2021
Certification dateDecember 8, 2021
Mailing address17015 Bernardo Center Dr Apt A, San Diego, CA 92128-2593

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Del Sur Healthcare — 61 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in San Diego