Active NPI
Maria Elena Marino, M.D.
- Pediatrics Physician
- La Habra, CA
National Provider Identifier
1245398700
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- A40234
- Practice address
- 501 S Idaho St
Suite 190
La Habra, CA 90631-6047 - Phone
- (562) 690-0400
- Fax
- (562) 690-3182
- NPI assigned
- Dec 5, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | A40234 | CA | Primary |
Addresses
Primary practice location
501 S Idaho St
Suite 190
La Habra, CA 90631-6047
Mailing address
501 S Idaho St Ste 190
La Habra, CA 90631-6047
Phone (562) 690-0400
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00A40234 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A40234 | CA | MD | Pediatrics Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165276800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1335139200000",
"number": "1245398700",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "501 S IDAHO ST STE 190",
"city": "LA HABRA",
"state": "CA",
"postal_code": "906316047",
"telephone_number": "562-690-0400",
"fax_number": "562-690-3182"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "501 S IDAHO ST",
"address_2": "SUITE 190",
"city": "LA HABRA",
"state": "CA",
"postal_code": "906316047",
"telephone_number": "562-690-0400",
"fax_number": "562-690-3182"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARINO",
"first_name": "MARIA",
"middle_name": "ELENA",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-12-05",
"last_updated": "2012-04-23",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "CA",
"license": "A40234",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00A40234",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in La Habra, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.