Michelle a Marine MD Inc

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

Legal business name

MICHELLE A MARINE MD INC

Practice address

77 Rolling Oaks Dr
Suite 306
Thousand Oaks, CA 91361-1011

Phone

(805) 371-8775

Fax

(805) 379-3711

NPI assigned

Oct 21, 2009

Organization subpart

No

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

Authorized official

Name

Michelle A Marine, MDNPI 1114976149

Title

Physician/Auth Official

Phone

(805) 371-8775

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Michelle A Marine, M.D.

  • Obstetrics & Gynecology Physician
  • Oxnard, CA
  • NPI 1114976149
  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1256083200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1763424000000",
    "number": "1619203957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "77 ROLLING OAKS DR STE 306",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913611013",
            "telephone_number": "805-371-8775",
            "fax_number": "805-379-3711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "77 ROLLING OAKS DR",
            "address_2": "SUITE 306",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913611011",
            "telephone_number": "805-371-8775",
            "fax_number": "805-379-3711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHELLE A MARINE MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-21",
        "last_updated": "2025-11-18",
        "certification_date": "2025-11-18",
        "status": "A",
        "authorized_official_last_name": "MARINE",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PHYSICIAN/AUTH OFFICIAL",
        "authorized_official_telephone_number": "805-371-8775",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael H Goldberg Inc
• Michael J. Rieder DMD, Professional Corp
• Michael T Mosher M.D a Medical Corporation
• Michael T. Vercillo, M.D., Inc.
• Joshua Michael, ATC
• Georgia Middleton
• Kelly M Mielke, CAADE-CATC INTERN
• Viviana Angelina Miglia, AU.D.
• Miguel Gonzalez MD Professional Corporation
• Justin Mikesell

• Obstetrics & Gynecology Physician in Thousand Oaks, CA
• Providers in Thousand Oaks, CA by specialty
• Obstetrics & Gynecology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.