Individual provider Active NPI

Bridget Marrin, NP

  • Family Nurse Practitioner
  • San Gabriel, CA
National Provider Identifier
1376899450
Registry record updated Jul 26, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
20063 Issued in CA
Practice address
1448 S San Gabriel Blvd
San Gabriel, CA 91776-3656
Phone
(626) 569-2888
NPI assigned
Jul 26, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 26, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 20063 CA Primary

Addresses

Primary practice location

1448 S San Gabriel Blvd
San Gabriel, CA 91776-3656

Mailing address

968 Tularosa Dr Apt 2
Los Angeles, CA 90026-2744
Phone (213) 219-9514

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140717001323 CA Practitioner - Nurse Practitioner 7012133671 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St. John's Community HealthGroup PAC ID 2961482690, 151 clinicians

Practice addresses (Care Compare)

808 W 58TH St
Los Angeles, CA 90037-3632
Phone (323) 541-1400

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Complete Care Community Health Center, Inc Current Accepting new patients
St. Johns Community Health CurrentSince Oct 28, 2024 Accepting new patients
Complete Care Community Health Center, Inc CurrentSince Nov 19, 2018 Accepting new patients
St. Johns Community Health Current Accepting new patients
Complete Care Community Health Center, Inc CurrentSince Nov 19, 2018 Accepting new patients
Healthcare Partners Affiliates Medical Group CurrentSince May 1, 2014 Accepting new patients
Healthcare Partners Affiliates Medical Group CurrentSince May 1, 2014 Accepting new patients
St. Johns Community Health CurrentSince Oct 28, 2024 Accepting new patients
St. Johns Community Health Past Accepting new patients

Locations

824 E Carson St
Ste 104
Carson, CA 90745
Phone (310) 830-9706

2115 N Wilmington Ave
Compton, CA 90222
Phone (310) 603-1332

2928 E Cesar E Chavez Ave
Los Angeles, CA 90033
Phone (323) 266-6700

601 Torrance Blvd
#1182
Redondo Beach, CA 90277

1821 S San Jacinto Ave
Ste D
San Jacinto, CA 92583
Phone 32328598302332

1500 N Waterman Ave
Sn Bernrdno, CA 92404
Phone (909) 381-1591

5831 Firestone Blvd
Ste E
South Gate, CA 90280
Phone (562) 600-4471

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: bridget.marrinnp.p1@direct.ccchcenter.nextgenshare.com

Organizations & group practices 9

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": "1343260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1343260800000",
    "number": "1376899450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "968 TULAROSA DR APT 2",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900262744",
            "telephone_number": "213-219-9514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1448 S SAN GABRIEL BLVD",
            "city": "SAN GABRIEL",
            "state": "CA",
            "postal_code": "917763656",
            "telephone_number": "626-569-2888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARRIN",
        "first_name": "BRIDGET",
        "name_prefix": "Ms.",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-07-26",
        "last_updated": "2012-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "20063",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Gabriel, CA

Sources for this page

Verify at the official NPI Registry.