Marli Amin, M.D.
Individual provider Active NPI Obstetrics & Gynecology Physician · Westminster, CA
NPI 1629257530 · NPPES record last updated Jul 21, 2014
Key facts
- NPI
- 1629257530
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Obstetrics & Gynecology Physician 207V00000X
- License
- A101312 (CA)
- Practice address
- 13950 Milton Ave
Suite 100
Westminster, CA 92683-2900 - Phone
- (714) 702-3000
- NPI assigned
- Oct 26, 2007
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 6
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100716000574 | CA | Practitioner - Obstetrics/Gynecology | 5193857779 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A101312 | CA | MD | Obstetrics & Gynecology Physician |
Practice roles (6 of 7)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of California Irvine | Current | Accepting new patients | |
| University of California Irvine | Current |
Accepting new patients | |
| University of California Irvine | Current |
Accepting new patients | |
| Long Beach Memorial Medical | Past | Accepting new patients | |
| Reproductive Partners | Past | Accepting new patients | |
| University of California Irvine | Past | Accepting new patients |
Locations
101 The City Dr S
Orange, CA 92868
Phone (714) 456-6054
800 N Main St
Santa Ana, CA 92701
Phone (714) 456-6324
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | A101312 | CA | Yes |
Addresses
Primary practice location
13950 Milton Ave
Suite 100
Westminster, CA 92683-2900
Mailing address
13950 Milton Ave
Suite 100
Westminster, CA 92683-2900
Phone (714) 702-3000
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| A101312 | Other | CA | CA MEDICAL LICENSE |
Other providers in Westminster, CA
- Amal Hanna DDS Inc
- Delia Amansec
- Americade Health Services, Inc.
- American Beam Clinic Inc
- Eduardo Amezcua
- An Medical Center
- An Nguyen DDS, Inc
- An Vu Dentistry
- Elizabeth J An
- Nelly C Anamos
All providers in Westminster, CA · Obstetrics & Gynecology Physician in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 21, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.