NPIMap

Individual provider Active NPI

Marisol Garcia Penichet, M.D.

  • Anatomic Pathology & Clinical Pathology Physician
  • Los Angeles, CA
National Provider Identifier
1639365133
Registry record updated Sep 18, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
License
A84142 Issued in CA
Practice address
2208 W 7TH St
Los Angeles, CA 90057-4002
Phone
(213) 384-3434
Fax
(213) 637-0924
NPI assigned
Sep 18, 2007
Last updated
Sep 18, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 18, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X A84142 CA Primary

Addresses

Primary practice location

2208 W 7TH St
Los Angeles, CA 90057-4002

Mailing address

PO Box 10432
Beverly Hills, CA 90213-3432
Phone (213) 637-2530

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20071128000893 CA Practitioner - Pathology 5193814135 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pathology
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Affiliated Pathologists Medical Group, Inc.Group PAC ID 7315840535, 46 clinicians

Practice addresses (Care Compare)

2374 E Pacifica PL
Rancho Dominguez, CA 90220-6214
Phone (310) 225-3244

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.39 of 100Reported as group
Quality
88.62
Improvement activities
40
Cost
77.86

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A84142CAMDAnatomic Pathology & Clinical Pathology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Affiliated Pathologists Medical Group, Inc. Anatomic Pathology & Clinical Pathology CurrentSince Mar 1, 2023 Accepting new patients
Santa Ana Clinica Medica General Medical Center Inc. PastSince Apr 28, 2003 Accepting new patients
East Los Angeles Clinica Medica General Medical Center Inc Past Accepting new patients
Cedars Towers Surgical Medical Group Past Accepting new patients
Omnipathology Solutions Medical Corporation PastSince Jul 21, 2024 Accepting new patients
Omnipathology Solutions Medical Corporation Past Accepting new patients
Pih Health Good Samaritan Hospital Past Accepting new patients
Soc Pathology Medical Group Inc. Anatomic Pathology & Clinical Pathology Past Accepting new patients

Locations

3828 Delmas Ter
Culver City, CA 90232
Phone (310) 202-4745

1680 E 120th St
Los Angeles, CA 90059
Phone (424) 338-8000

20001 S Rancho Way
Rancho Dominguez, CA 90220
Phone (310) 225-3221

2374 E Pacifica Pl
Rancho Dominguez, CA 90220
Phone (310) 225-3221

350 Terracina Blvd
Redlands, CA 92373
Phone (909) 335-5500

10 Woodland Rd
Saint Helena, CA 94574
Phone (707) 261-7821

1300 W 7th St
San Pedro, CA 90732
Phone (310) 514-5350

275 Hospital Dr
Ukiah, CA 95482
Phone (707) 462-7900

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

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": "1190073600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1190073600000",
    "number": "1639365133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10432",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902133432",
            "telephone_number": "213-637-2530",
            "fax_number": "213-637-0924"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2208 W 7TH ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900574002",
            "telephone_number": "213-384-3434",
            "fax_number": "213-637-0924"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENICHET",
        "first_name": "MARISOL",
        "middle_name": "GARCIA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-09-18",
        "last_updated": "2007-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "CA",
            "license": "A84142",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.