Active NPI
Daniel Marcus MD Inc
- Specialist
- Marina del Rey, CA
National Provider Identifier
1184771040
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- C51003
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417061714 | Other | CA | NPI |
Other names 1
- DANIEL MARCUS,MD
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
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.
-
- Specialist
- Marina del Rey, CA
- NPI 1417061714
-
- Orthopaedic Surgery Physician
- Marina del Rey, CA
- NPI 1386663615
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.