Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum
Kidisti Ghebre Mariam, OD
Optometrist in Antioch, CA · enumerated 2006.
Data current as of Jul 13, 2026 · sourced from CMS NPPES
National Provider Identifier
1477508331
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Registry record
Entity type Individual (Type 1)
Name Kidisti Ghebre Mariam
Credential OD
Sex Female
Practice address 2201 Verne Roberts Cir, Antioch, CA, 94509
Phone (925) 757-1183
Enumeration date May 22, 2006
Last updated in NPPES Jul 8, 2007
Taxonomy & licenses
OD · Doctor of Optometry: A licensed optometrist providing primary vision care, eye exams, and corrective lenses.
About the OD credential
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.
Frequently asked questions
Is NPI 1477508331 active?
Yes, as of the latest NPPES snapshot, NPI 1477508331 is active (record last updated 2007-07-08).
How do I verify Kidisti Mariam's NPI record?
Cross-check NPI 1477508331 against the official CMS registry at npiregistry.cms.hhs.gov. This page mirrors the same public NPPES data with a monthly snapshot.
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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2007-07-08.