Active NPI
Marianne G Rochester, M.D.
- Urology Physician
- San Diego, CA
National Provider Identifier
1386746097
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- A45939
- Practice address
- 3969 4TH Ave
Suite 202
San Diego, CA 92103-3165 - Phone
- (619) 260-0060
- Fax
- (619) 260-0460
- NPI assigned
- Sep 2, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urology Physician | 208800000X | A45939 | CA | Primary |
Addresses
Primary practice location
3969 4TH Ave
Suite 202
San Diego, CA 92103-3165
Mailing address
3969 4TH Ave Ste 202
San Diego, CA 92103-3165
Phone (619) 260-0060
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| ZZZ65166Z | Other | CA | BLUE SHIELD |
| GR0100000 | Medicaid | CA |
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Emergency and Acute Care Medical Corporation | Current | Accepting new patients | |
| Scripps Health | Current | Accepting new patients | |
| Genesis Healthcare Partners PC | Urology | Past | Accepting new patients |
Locations
435 H St
Chula Vista, CA 91910
Phone (619) 691-7000
9888 Genesee Ave
La Jolla, CA 92037
Phone (858) 457-4123
7901 Frost St
San Diego, CA 92123
Phone (619) 541-3400
4077 5th Ave
San Diego, CA 92103
Phone (619) 260-7245
Interoperability endpoints
- mrochester35895@scrippshlth.medalliesdirect.net
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.
-
- Emergency Medicine Physician
- San Diego, CA
- NPI 1437103942
-
- General Acute Care Hospital
- San Diego, CA
- NPI 1487928891
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157155200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1476057600000",
"number": "1386746097",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3969 4TH AVE STE 202",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921033165",
"telephone_number": "619-260-0060",
"fax_number": "619-260-0460"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3969 4TH AVE",
"address_2": "SUITE 202",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921033165",
"telephone_number": "619-260-0060",
"fax_number": "619-260-0460"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROCHESTER",
"first_name": "MARIANNE",
"middle_name": "G",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-02",
"last_updated": "2016-10-10",
"status": "A"
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "CA",
"license": "A45939",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD",
"identifier": "ZZZ65166Z",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "GR0100000",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
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 Oct 10, 2016; 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.