Individual provider Active NPI

Marina Noemi Capella, M.D.

  • Pediatrics Physician
  • Oceanside, CA
National Provider Identifier
1265711709
Registry record updated Feb 25, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
A125409 Issued in CA
Practice address
3220 Mission Ave
Unit 1
Oceanside, CA 92058-1351
Phone
(760) 433-3155
NPI assigned
Aug 16, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X A125409 CA Primary

Addresses

Primary practice location

3220 Mission Ave
Unit 1
Oceanside, CA 92058-1351

Mailing address

3220 Mission Ave
Unit 1
Oceanside, CA 92058-1351
Phone (760) 433-3155

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190329000783 UT Practitioner - Pediatric Medicine 1153549290 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
125409CAMDMarriage & Family Therapist
A125409CAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ihc Health Services Inc Pediatrics CurrentSince Dec 23, 2018 Accepting new patients
Ihc Health Services, Inc. CurrentSince Dec 23, 2018 Accepting new patients
Ihc Health Services Inc Current Accepting new patients
North County Health Project Inc PastSince Oct 9, 2022 Accepting new patients

Locations

700 S Highway 99
Ste 3
Fillmore, UT 84631
Phone (435) 743-5555

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1313452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1424822400000",
    "number": "1265711709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3220 MISSION AVE",
            "address_2": "UNIT 1",
            "city": "OCEANSIDE",
            "state": "CA",
            "postal_code": "920581351",
            "telephone_number": "760-433-3155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3220 MISSION AVE",
            "address_2": "UNIT 1",
            "city": "OCEANSIDE",
            "state": "CA",
            "postal_code": "920581351",
            "telephone_number": "760-433-3155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAPELLA",
        "first_name": "MARINA",
        "middle_name": "NOEMI",
        "name_prefix": "Mrs.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-08-16",
        "last_updated": "2015-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "A125409",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oceanside, CA

Sources for this page

Verify at the official NPI Registry.