Organization Active NPI

Daniel Marcus MD Inc

  • Specialist
  • Marina del Rey, CA
National Provider Identifier
1184771040
Registry record updated Oct 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
C51003 Issued in CA
Legal business name
DANIEL MARCUS MD INC
Practice address
4640 Admiralty Way Ste 1020
Marina del Rey, CA 90292-6641
Phone
(310) 305-1813
Fax
(310) 821-3555
NPI assigned
Jan 4, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2025

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

Authorized official

Name
Melissa Ang
Title
Account Manager/ Office Manager
Phone
(310) 305-1813

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X C51003 CA Primary

Addresses

Primary practice location

4640 Admiralty Way Ste 1020
Marina del Rey, CA 90292-6641

Mailing address

PO Box 66459
Los Angeles, CA 90066-0459
Phone (310) 305-1813

Other identifiers 1

IdentifierTypeStateIssuer
1417061714OtherCANPI

Other names 1

  • DANIEL MARCUS,MD Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20081110000587 CA Part B Supplier - Clinic/Group Practice 2264591924 Receives reassigned benefits from 1 practitioner
Practice locations: Marina del Rey, CA

National Provider Directory

National Provider Directory

Locations

4644 Lincoln Blvd
Ste 414
Marina del Rey, CA 90292
Phone (310) 305-1813

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1167868800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1760572800000",
    "number": "1184771040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 66459",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900660459",
            "telephone_number": "310-305-1813",
            "fax_number": "310-821-3555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4640 ADMIRALTY WAY STE 1020",
            "city": "MARINA DEL REY",
            "state": "CA",
            "postal_code": "902926641",
            "telephone_number": "310-305-1813",
            "fax_number": "310-821-3555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DANIEL MARCUS MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-04",
        "last_updated": "2025-10-16",
        "certification_date": "2025-10-16",
        "status": "A",
        "authorized_official_last_name": "ANG",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_title_or_position": "ACCOUNT MANAGER/ OFFICE MANAGER",
        "authorized_official_telephone_number": "310-305-1813"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "CA",
            "license": "C51003",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1417061714",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DANIEL MARCUS,MD",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Marina del Rey, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.