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

Mrs. Maryam Khatami

Individual provider Community Health Worker · NPI 1194577486

Mrs. Maryam Khatami is a Community Health Worker in Manteca, California. Practices as a sole proprietor. Registered with an NPI since 2024.

In the registry since
2024

Practice location Address checks out

302 Cherry Ln Ste 208
Manteca, CA 95337-4311
Phone: (209) 769-3768
Show map & directions

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

Specialties & licences

Community Health Worker (primary) Taxonomy 172V00000X

Record details

NPI number1194577486
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedApril 2, 2024
Last updated in NPPESApril 2, 2024
Certification dateMarch 29, 2024
Mailing address302 Cherry Ln Ste 208, Manteca, CA 95337-4311

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