Individual provider

Mariam Ajmal, FNP

Family Nurse Practitioner Medicare enrolled

Mariam Ajmal, FNP is a Family Nurse Practitioner in San Diego, CA, registered under NPI 1104585090. NPPES records them as a sole proprietor, meaning the practice is not incorporated as a separate legal entity.

Getting there

The practice address on file is 9663 TIERRA GRANDE ST STE 101, San Diego, CA 92126. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

9663 TIERRA GRANDE ST STE 101, San Diego, CA 92126 Open in Google Maps →

Credentials and Medicare

State licence
LicenceStateSpecialty
95017543 CA Family Nurse Practitioner primary

This provider holds licence 95017543 issued in CA. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.

Medicare (PECOS)
Status
Approved
Provider type
Practitioner - Nurse Practitioner
PAC ID
7719349646
Enrollment ID
I20230809003012

Medicare enrolment is recorded as approved under the provider type Practitioner - Nurse Practitioner. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.

What Family covers

Definition to come... NUCC Health Care Provider Taxonomy, code 363LF0000X
Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Family

The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.

Full NPPES record

An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.

NPI1104585090 valid check digit
Entity typeIndividual (NPI-1)
Enumeration dateDec 8, 2021
Last updatedDec 8, 2021
StatusActive
Sole proprietorYes
CredentialFNP
Practice address 9663 TIERRA GRANDE ST STE 101
San Diego, CA 92126
(858) 547-0077
Mailing address 17015 BERNARDO CENTER DR APT A
San Diego, CA 92128
The last update on file is Dec 8, 2021. Providers are only required to update NPPES when their information changes, so an older date does not necessarily mean the details are wrong — but it is worth a quick call before you travel.

Number check

1104585090 passes the NPI check digit test The final digit 0 matches the value computed from the first nine digits, so this is a well-formed NPI.
How the check works, step by step

Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.

Digit 8 0 8 4 0 1 1 0 4 5 8 5 0 9
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 1 0 4 1 8 1 0 9

Sum = 50 · next multiple of 10 = 50 · check digit = 0 · actual last digit = 0

A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.

Common questions

What is NPI number 1104585090?
NPI 1104585090 is the National Provider Identifier assigned to Mariam Ajmal, FNP in San Diego, CA. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does Family cover?
Definition to come...
How do I contact Mariam Ajmal, FNP?
The phone number on file with NPPES is (858) 547-0077, last updated Dec 8, 2021. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Does Mariam Ajmal, FNP accept Medicare?
This NPI has an approved Medicare enrolment in PECOS, which means the provider is enrolled to bill Medicare. Enrolment does not guarantee they are accepting new Medicare patients — verify directly with the office.
Is NPI 1104585090 a valid number?
Yes. 1104585090 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.