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

Mrs. Maryam Modirrousta, CNM, NP

Individual provider Advanced Practice Midwife · NPI 1548514565

Mrs. Maryam Modirrousta, CNM, NP is a Certified Nurse Midwife (CNM) in Apple Valley, California. Qualified in 1991, 35 years ago. Practices with Southern California Permanente Medical Group, an 11,242-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
35
Licensed in
CA
In the registry since
2012
What do these letters mean?
CNM — Certified Nurse-Midwife
An advanced practice nurse who provides prenatal care and delivers babies.
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

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Practice location Address checks out

18300 US Highway 18
Apple Valley, CA 92307-2206
Phone: (706) 242-2311
Fax: (760) 946-8875
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Advanced Practice Midwife (primary) Taxonomy 367A00000X · Licence NMW1949 (CA)

Record details

NPI number1548514565
Entity typeIndividual (Type 1)
GenderFemale
Credentials CNM , NP
Sole proprietorNo
NPI enumeratedOctober 29, 2012
Last updated in NPPESDecember 8, 2021

Medicare enrollment

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

Medicare specialtyCERTIFIED NURSE MIDWIFE (CNM)
Medical schoolOTHER
Graduated 1991 (35 years in practice)
Group practice Southern California Permanente Medical Group — 11242 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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