Gerald Marini, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

5588 Issued in AZ

Practice address

7233 E Baseline Rd Ste 126
Mesa, AZ 85209-5007

Phone

(480) 699-2222

Fax

(480) 699-3033

NPI assigned

Nov 4, 2013

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1383523200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1383523200000",
    "number": "1245669803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7233 E BASELINE RD STE 126",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852095007",
            "telephone_number": "480-699-2222",
            "fax_number": "480-699-3033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7233 E BASELINE RD STE 126",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852095007",
            "telephone_number": "480-699-2222",
            "fax_number": "480-699-3033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARINI",
        "first_name": "GERALD",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-11-04",
        "last_updated": "2013-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "AZ",
            "license": "5588",
            "primary": true
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "AZ",
            "license": "5588",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maricopa County Special Health Care District (Valleywise Community Health Center - Mesa Pharmacy)
• Maricopa Integrated Health System
• Marie's Haven Hospice and Palliative Care,Inc
• Marin Holy Hill Acupuncture Clinic LLC
• Margot Marincic
• Christopher Paul Marino
• Eric G Marinoff, DDS
• Verna Jean Marion, LCSW, LISAC, BCD
• Mariposa Medical Associates, PLLC
• Marco Mariscal

• Medical Physician Assistant in Mesa, AZ
• Providers in Mesa, AZ by specialty
• Medical Physician Assistant in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.