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

Miriam Elizabeth Mirmotahari, NP

Individual provider Nurse Practitioner · NPI 1851911135

Miriam Elizabeth Mirmotahari, NP is a Nurse Practitioner in San Jacinto, California. Qualified in 2021, 5 years ago. Practices with Tobias Moeller-Bertram MD Corporation, a 55-clinician group, accepts Medicare assignment and offers telehealth. Licensed in California.

Years since qualifying
5
Licensed in
CA
In the registry since
2020
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

See every abbreviation used in this directory →

Practice location Address checks out

1695 S San Jacinto Ave Ste A
San Jacinto, CA 92583-5103
Phone: (951) 330-3100
Fax: (951) 350-1050
Show map & directions

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

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 95019163 (CA)

Record details

NPI number1851911135
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorNo
NPI enumeratedApril 16, 2020
Last updated in NPPESMarch 4, 2026
Certification dateMarch 4, 2026

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 Tobias Moeller-Bertram Md Corporation — 55 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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