Active NPI
Marna L Geisler, MD
- Pediatrics Physician
- Pacific Palisades, CA
National Provider Identifier
1619984739
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- G046927
- Practice address
- 918 Fiske St
Pacific Palisades, CA 90272-3841 - Phone
- (310) 795-7018
- NPI assigned
- Aug 2, 2006
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | G046927 | CA | Primary |
Addresses
Primary practice location
918 Fiske St
Pacific Palisades, CA 90272-3841
Mailing address
2021 Santa Monica Blvd
Suite 440E
Santa Monica, CA 90404-2208
Phone (310) 453-9001
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| G046927 | Other | CA | STATE LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 46927 | CA | MD | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
| G046927 | CA | MD | Pediatrics Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154476800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1598572800000",
"number": "1619984739",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2021 SANTA MONICA BLVD",
"address_2": "SUITE 440E",
"city": "SANTA MONICA",
"state": "CA",
"postal_code": "904042208",
"telephone_number": "310-453-9001",
"fax_number": "310-453-0821"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "918 FISKE ST",
"city": "PACIFIC PALISADES",
"state": "CA",
"postal_code": "902723841",
"telephone_number": "310-795-7018"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GEISLER",
"first_name": "MARNA",
"middle_name": "L",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-08-02",
"last_updated": "2020-08-28",
"certification_date": "2020-08-28",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "CA",
"license": "G046927",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "G046927",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Pacific Palisades, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.