Marnie Baker, MD

Individual provider Active NPI Pediatrics Physician · Irvine, CA

NPI 1013907377 · NPPES record last updated May 12, 2021

Key facts

NPI
1013907377
Entity type
Individual (NPI type 1)
Primary specialty
Pediatrics Physician 208000000X
License
A77478 (CA)
Practice address
4050 Barranca Pkwy Ste 170
Irvine, CA 92604-4785
Phone
(949) 551-1090
Fax
(949) 262-5500
NPI assigned
Oct 26, 2005
Sex
Female
Sole proprietor
No

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20100511000326 CA Practitioner - Pediatric Medicine 8022146182 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Medicine

Practice roles (8 of 9)

OrganizationSpecialtyStatusNew patients
Children'S Hospital at Mission Past Accepting new patients
Long Beach Memorial Medical Past Accepting new patients
Long Beach Memorial Medical Past Accepting new patients
Children'S Hospital of Orange County Past Accepting new patients
Saddleback Memorial Medical Center Past Accepting new patients
Mission Hospital Regional Medical Center Past Accepting new patients
Orange Coast Memorial Medical Center Past Accepting new patients
Bristol Park Medical Group, Inc Pediatrics Past Accepting new patients

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: mbaker193591@direct.memorialcare.org

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X A77478 CA Yes

Addresses

Primary practice location

4050 Barranca Pkwy Ste 170
Irvine, CA 92604-4785

Mailing address

4050 Barranca Pkwy Ste 170
Irvine, CA 92604-4785
Phone (949) 551-1090

Electronic endpoints

TypeEndpointUseAffiliation
FHIR URL https://fhir.memorialcare.org/fhir/api/R4 Health Information Exchange (HIE) MemorialCare Medical Foundation

Other providers in Irvine, CA

All providers in Irvine, CA · Pediatrics Physician in California

Sources for this page

Verify at the official NPI Registry.