Marina Wilson Riad, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA66018 Issued in CA

Practice address

15625 Alton Pkwy Ste D
Irvine, CA 92618-7319

Phone

(949) 396-6950

Fax

(949) 396-6950

NPI assigned

Aug 7, 2024

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

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.

• PMD Medical PC

  • Internal Medicine Physician
  • Cerritos, CA
  • NPI 1881495695
  Medicare reassignment
• George Tun MD Inc

  • Psychiatry Physician
  • Irvine, CA
  • NPI 1932828720
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1722988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784937600000",
    "number": "1124858758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10413 BELLDER DR",
            "city": "DOWNEY",
            "state": "CA",
            "postal_code": "902412632"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15625 ALTON PKWY STE D",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926187319",
            "telephone_number": "949-396-6950",
            "fax_number": "949-396-6950"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "222 W 6th St",
            "address_purpose": "LOCATION",
            "city": "Corona",
            "state": "CA",
            "postal_code": "928823301",
            "country_code": "US",
            "telephone_number": "888-682-6282",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RIAD",
        "first_name": "MARINA",
        "middle_name": "WILSON",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-08-07",
        "last_updated": "2026-07-25",
        "certification_date": "2026-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA66018",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sommy Rhee, PHARM.D.
• Julianna D. Rhode, P.A.
• Joshua Rhodes
• Tizer Rhodes
• Rhonda J. Myers, M.D.
• Mohammad Riazi Esfahani, MD
• Anna Riccardelli, BA
• Rice Dental Partnership
• David E Rice, MFT
• Madison Victoria Rice

• Physician Assistant in Irvine, CA
• Providers in Irvine, CA by specialty
• Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.