Individual provider Active NPI

Vincent C. Marino, D.P.M.

  • Podiatrist
  • San Francisco, CA
National Provider Identifier
1609871342
Registry record updated May 9, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
E3530 Issued in CA
Practice address
555 Front St
San Francisco, CA 94111-1911
Phone
(415) 984-2700
Fax
(415) 984-9920
NPI assigned
Jun 17, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 9, 2017

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X E3530 CA Primary
Sports Medicine Podiatrist 213ES0000X E3530 CA
Foot & Ankle Surgery Podiatrist 213ES0103X E3530 CA

Addresses

Primary practice location

555 Front St
San Francisco, CA 94111-1911

Mailing address

555 Front St
San Francisco, CA 94111-1911
Phone (415) 984-2700

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040823001323 CA Practitioner - Podiatry 4981678216 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
New York College of Podiatric Medicine, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

165 Rowland Way
Suite 206
Novato, CA 94945-5055
Phone 41589898185

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal of nail tissue125
Removal or shaving of skin growth12

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
E3530CAMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Vincent C. Marino, DPM, Inc. Podiatrist CurrentSince May 1, 2006 Accepting new patients
Vincent C. Marino, DPM, Inc Podiatrist CurrentSince May 1, 2006 Accepting new patients
Sutter Bay Hospitals Past Accepting new patients
Sharp Memorial Hospital Past Accepting new patients
UCSF Health Community Hospitals Past Accepting new patients
Mills-Peninsula Health Services Past Accepting new patients
Marin General Hospital Past Accepting new patients
Vincent C. Marino DPM, Inc. Past Accepting new patients
Scripps Health Past Accepting new patients

Locations

165 Rowland Way
Ste 206
Novato, CA 94945
Phone (415) 750-1992

430 Davis Ct
San Francisco, CA 94111
Phone (415) 781-2225

555 Front St
San Francisco, CA 94111
Phone (413) 438-2273

Interoperability endpoints

  • Direct secure messaging: vmarino194725@hisp.ehr.sutterhealth.org

Organizations & group practices 10

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.

Hospital & facility affiliations 1

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": "1118966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1494288000000",
    "number": "1609871342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "555 FRONT ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941111911",
            "telephone_number": "415-984-2700",
            "fax_number": "415-984-9920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 FRONT ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941111911",
            "telephone_number": "415-984-2700",
            "fax_number": "415-984-9920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARINO",
        "first_name": "VINCENT",
        "middle_name": "C.",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-17",
        "last_updated": "2017-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "CA",
            "license": "E3530",
            "primary": true
        },
        {
            "code": "213ES0000X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Sports Medicine",
            "state": "CA",
            "license": "E3530",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "CA",
            "license": "E3530",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

Verify at the official NPI Registry.