Individual provider Active NPI

Daniel J Marnell, MD

  • Dermatology Physician
  • San Diego, CA
National Provider Identifier
1508831280
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
C33369 Issued in CA
Practice address
6367 Alvarado CT
Suite107
San Diego, CA 92120-4904
Phone
(619) 287-1882
Fax
(619) 287-4121
NPI assigned
Feb 17, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X C33369 CA Primary

Addresses

Primary practice location

6367 Alvarado CT
Suite107
San Diego, CA 92120-4904

Mailing address

6367 Alvarado CT
Suite107
San Diego, CA 92120-4904
Phone (619) 287-1882

Other identifiers 1

IdentifierTypeStateIssuer
OOC333691MedicaidCA

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
I20050804000669 CA Practitioner - Dermatology 4981631520 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
C33369CAMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
San Diego Dermatology and Cosmetic Surgery Medical Group, Inc. Dermatology CurrentSince May 1, 2011 Accepting new patients
Daniel J Marnell MD Apc Dermatology PastSince Jul 1, 1975 Accepting new patients

Locations

6367 Alvarado Ct
Ste 107
San Diego, CA 92120
Phone (619) 287-1822

Organizations & group practices 2

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": "1140134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1508831280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6367 ALVARADO CT",
            "address_2": "SUITE107",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921204904",
            "telephone_number": "619-287-1882",
            "fax_number": "619-287-4121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6367 ALVARADO CT",
            "address_2": "SUITE107",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921204904",
            "telephone_number": "619-287-1882",
            "fax_number": "619-287-4121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARNELL",
        "first_name": "DANIEL",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-17",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "CA",
            "license": "C33369",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "OOC333691",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

Verify at the official NPI Registry.