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

Maryam Banan

Individual provider Acute Care Nurse Practitioner · NPI 1912780925

Maryam Banan is a Nurse Practitioner in Riverside, California. Qualified in 2023, 3 years ago. Practices with University Surgeons of Orange a Medical Group, a 120-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in California.

Years since qualifying
3
Licensed in
CA
In the registry since
2023
Specialties on file
2

Practice location Address checks out

4445 Magnolia Ave
Riverside, CA 92501-4135
Phone: (951) 788-3000
Show map & directions

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

Additional practice locations (1)

  • 101 The City Dr S, Orange, CA 92868 — (714) 456-8888

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 95026109 (CA)
Acute Care Nurse Practitioner Taxonomy 363LA2100X · Licence 95026109 (CA)

Record details

NPI number1912780925
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 15, 2023
Last updated in NPPESDecember 4, 2024
Certification dateDecember 4, 2024
Mailing address200 S Manchester Ave Ste 300, Orange, CA 92868-3219

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice University Surgeons Of Orange A Medical Group — 120 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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