NPIMap

Individual provider Active NPI

Jairo J Marin, M.D.

  • Interventional Cardiology Physician
  • Orange, CA
National Provider Identifier
1396776746
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
G49117 Issued in CA
Practice address
1140 W. la Veta Ave.
Suite # 640
Orange, CA 92868-4228
Phone
(714) 564-3300
Fax
(714) 564-3318
NPI assigned
Jul 5, 2006
Last updated
Mar 7, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X G49117 CA
Interventional Cardiology Physician 207RI0011X G49117 CA Primary

Addresses

Primary practice location

1140 W. la Veta Ave.
Suite # 640
Orange, CA 92868-4228

Mailing address

1140 W. la Veta Ave.
Suite # 640
Orange, CA 92868-4228
Phone (714) 564-3300

Other identifiers 2

IdentifierTypeStateIssuer
G49117OtherARMEDICAL LICENSE
GR0064090MedicaidCA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101130000263 CA Practitioner - Interventional CardiologyPractitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 4385544428 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Interventional CardiologyAlso: Cardiovascular Disease (Cardiology)
Education
University of California, San Francisco School of Medicine, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1140 W la Veta Ave
Suite 640
Orange, CA 92868-4228

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
97.25 of 100Reported as individual
Quality
86.67
Promoting interoperability
97
Improvement activities
40
Cost
73.66

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting22
Pacemaker insertion or repair1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
49117CAMDPharmacist
G49117CAMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Orange County Heart Institute and Research Center a Medical Group Cardiovascular Disease CurrentSince Jul 1, 1998 Accepting new patients
Tyson C. Cobb, M.D., Inc CurrentSince Oct 13, 2008 Accepting new patients
South Coast Global Medical Center, Inc Past Accepting new patients
St. Joseph Hospital Past Accepting new patients
St Joseph Hospital of Orange Past Accepting new patients
Orange County Global Medical Center, Inc Past Accepting new patients

Locations

4501 Birch St
Newport Beach, CA 92660
Phone (949) 221-0136

1140 W La Veta Ave
Orange, CA 92868
Phone (714) 744-8724

1140 W La Veta Ave
Ste 640
Orange, CA 92868
Phone (714) 543-6054

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

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": "1152057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1396776746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1140 W. LA VETA AVE.",
            "address_2": "SUITE # 640",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928684228",
            "telephone_number": "714-564-3300",
            "fax_number": "714-564-3318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1140 W. LA VETA AVE.",
            "address_2": "SUITE # 640",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928684228",
            "telephone_number": "714-564-3300",
            "fax_number": "714-564-3318"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARIN",
        "first_name": "JAIRO",
        "middle_name": "J",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-05",
        "last_updated": "2023-03-07",
        "certification_date": "2021-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "CA",
            "license": "G49117",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "CA",
            "license": "G49117",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "G49117",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0064090",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Orange, CA

Sources for this page

Verify at the official NPI Registry.