Roberto Antonio Marin, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

51381 Issued in CA

Practice address

4402 W Camille St
Santa Ana, CA 92704-0614

Phone

(714) 737-3048

NPI assigned

Feb 27, 2014

Sex

Male

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

Locations

Interoperability endpoints

• Direct secure messaging: roberto.marin.p2@direct.hvvmg.nextgenshare.com

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.

• Anaheim Urgent Care, Inc.

  • Urgent Care Clinic/Center
  • Anaheim, CA
  • NPI 1962680033
  Medicare reassignment NPD
• Anaheim Urgent Care, Inc

  • Urgent Care Clinic/Center
  • Beverly Hills, CA
  • NPI 1619682788
  NPD
• Downtown Urgent Care

  • Urgent Care Clinic/Center
  • Los Angeles, CA
  • NPI 1740655208
  NPD

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

{
    "created_epoch": "1393459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1393459200000",
    "number": "1134544125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9591",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927289591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4402 W CAMILLE ST",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927040614",
            "telephone_number": "714-737-3048"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARIN",
        "first_name": "ROBERTO",
        "middle_name": "ANTONIO",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-02-27",
        "last_updated": "2014-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "51381",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Betzabel Marin Santamaria, RN
• Alberto Marin
• Jennifer Marin
• Nancy Trinidad Marin, PPS
• Robert Marin
• Valerie Marin
• Venus Macias Marin, NP(NURSE PRACTITIONE
• Yellena Margarita Marin, RN
• Christopher Andreas Marinakis, PTA
• Mariners Physical Therapy, Inc.

• Physician Assistant in Santa Ana, CA
• Providers in Santa Ana, CA by specialty
• Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2014; 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.