Marilyn Jeanne Obedzinski, PNP

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

257769 Issued in CA

Practice address

1001 Potrero Ave
6M5 Pediatrics
San Francisco, CA 94110-3518

Phone

(415) 206-8376

Fax

(415) 206-6900

NPI assigned

Aug 5, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1154736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1619986353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 POTRERO AVE",
            "address_2": "6M5 PEDIATRICS",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941103518",
            "telephone_number": "415-206-8376",
            "fax_number": "415-206-6900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 POTRERO AVE",
            "address_2": "6M5 PEDIATRICS",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941103518",
            "telephone_number": "415-206-8376",
            "fax_number": "415-206-6900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OBEDZINSKI",
        "first_name": "MARILYN",
        "middle_name": "JEANNE",
        "name_prefix": "Ms.",
        "credential": "PNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "CA",
            "license": "257769",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ojochide Obaseki
• Ambrose Owie Obasohan
• Dennis Okumu Obat, MD
• Susan T. Obata, MD
• Obdulia'S Resthome, Inc
• Nancy Ann Elizabeth Oberheim Bush, M.D. PH.D.
• Nicholas Ryan Oberlies, MD
• Snehlata Oberoi, DDS
• Alisa Grace Oberschelp, M.D.
• Osita Obi-Osuagwu, MD

• Pediatric Nurse Practitioner in San Francisco, CA
• Providers in San Francisco, CA by specialty
• Pediatric Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.