Individual provider Active NPI

Marilyn Masten Honegger, M.D.

  • Obstetrics & Gynecology Physician
  • Orinda, CA
National Provider Identifier
1376548156
Registry record updated Oct 21, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
G53701 Issued in CA
Practice address
12 Camino Encinas
Orinda, CA 94563-3309
Phone
(510) 204-8180
Fax
(925) 254-0687
NPI assigned
Jun 17, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X G53701 CA Primary

Addresses

Primary practice location

12 Camino Encinas
Orinda, CA 94563-3309

Mailing address

12 Camino Encinas
Orinda, CA 94563-3309
Phone (510) 204-8180

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20051122000468 CA Practitioner - Obstetrics/Gynecology 3678592458 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
University of California, Geffen School of Medicine, 1976
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sutter Bay Medical FoundationGroup PAC ID 4284538778, 3,783 clinicians

Practice addresses (Care Compare)

12 Camino Encinas
Orinda, CA 94563-3304
Phone (510) 204-8180

Hospital & facility affiliations

  • Alta Bates Summit Medical Center - Alta Bates Camp Hospital, Berkeley, CA, CCN 050305
  • California Pacific Medical Ctr-Davies Campus Hosp Hospital, San Francisco, CA, CCN 050008
  • Alta Bates Summit Medical Center Hospital, Oakland, CA, CCN 050043

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G53701CAMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sutter Bay Medical Foundation CurrentSince Aug 1, 2017 Accepting new patients
Sutter Bay Medical Foundation Current Accepting new patients
Sutter Bay Medical Foundation Obstetrics & Gynecology CurrentSince Aug 1, 2017 Accepting new patients

Locations

3075 Adeline St
Ste 280
Berkeley, CA 94703
Phone (510) 486-3415

3075 Adeline St
Ste 270
Berkeley, CA 94703
Phone (510) 204-5600

2999 Regent St
Ste 301
Berkeley, CA 94705
Phone (510) 204-8120

3200 Kearney St
Fremont, CA 94538
Phone (510) 498-2800

3687 Mt Diablo Blvd
Ste 200
Lafayette, CA 94549
Phone (510) 204-6660

12 Camino Encinas
Fl 1
Orinda, CA 94563
Phone (510) 410-3524

12 Camino Encinas
Orinda, CA 94563
Phone (510) 204-8180

795 El Camino Real
#1112
Palo Alto, CA 94301

Interoperability endpoints

  • Direct secure messaging: mhonegger7481@hisp.ehr.sutterhealth.org

Organizations & group practices 3

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1118966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1319155200000",
    "number": "1376548156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 CAMINO ENCINAS",
            "city": "ORINDA",
            "state": "CA",
            "postal_code": "945633309",
            "telephone_number": "510-204-8180",
            "fax_number": "925-254-0687"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 CAMINO ENCINAS",
            "city": "ORINDA",
            "state": "CA",
            "postal_code": "945633309",
            "telephone_number": "510-204-8180",
            "fax_number": "925-254-0687"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HONEGGER",
        "first_name": "MARILYN",
        "middle_name": "MASTEN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-17",
        "last_updated": "2011-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "CA",
            "license": "G53701",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orinda, CA

Sources for this page

Verify at the official NPI Registry.