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

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

Other providers in Riverside