Active NPI
Maryanne Pickett Howard, DO
- Surgery Physician
- San Diego, CA
National Provider Identifier
1386039840
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 20A18912
- Practice address
- 2841 Rendova Rd
San Diego, CA 92155-0004 - Phone
- (301) 295-4000
- NPI assigned
- Apr 1, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 20A18912 | CA | Primary |
| Surgery Physician | 208600000X | DO.OP.70092735 | WA | |
| Surgery Physician | 208600000X | R3405 | TX |
Addresses
Primary practice location
2841 Rendova Rd
San Diego, CA 92155-0004
Mailing address
8901 Rockville Pike
Bethesda, MD 20889-0001
Other practice location 1
8901 Rockville Pike
Bethesda, MD 20889-0001
Phone (301) 295-4000
Other names 1
- Maryanne Louise Pickett
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240813003967 | CA | Order and Referring Only - General Surgery | 9133505035 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20A18912 | CA | MD | Surgery Physician |
| R3405 | TX | MD | Surgery Physician |
Interoperability endpoints
- mpickett67138@direct.phhs.org
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1427846400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783123200000",
"number": "1386039840",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8901 ROCKVILLE PIKE",
"city": "BETHESDA",
"state": "MD",
"postal_code": "208890001"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2841 RENDOVA RD",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921550004",
"telephone_number": "301-295-4000"
}
],
"practiceLocations": [
{
"address_1": "8901 Rockville Pike",
"address_purpose": "LOCATION",
"city": "Bethesda",
"state": "MD",
"postal_code": "208890001",
"country_code": "US",
"telephone_number": "301-295-4000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HOWARD",
"first_name": "MARYANNE",
"middle_name": "PICKETT",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-04-01",
"last_updated": "2026-07-04",
"certification_date": "2026-07-04",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "CA",
"license": "20A18912",
"primary": true
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "WA",
"license": "DO.OP.70092735",
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "TX",
"license": "R3405",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MARYANNE",
"last_name": "PICKETT",
"middle_name": "LOUISE",
"credential": "DO",
"code": "1",
"type": "Former Name"
}
]
}Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 4, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.