Marla Lynn Mini, RRT, RCP

Primary specialty

Pulmonary Rehabilitation Registered Respiratory TherapistTaxonomy code 2279P1005X

License

4677 Issued in CA

Practice address

800 Sereno Dr
Vallejo, CA 94589-2411

Phone

(707) 651-2318

NPI assigned

Jul 16, 2020

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1594857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641168000000",
    "number": "1649888504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 SERENO DR",
            "city": "VALLEJO",
            "state": "CA",
            "postal_code": "945892411",
            "telephone_number": "707-651-2318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 SERENO DR",
            "city": "VALLEJO",
            "state": "CA",
            "postal_code": "945892411",
            "telephone_number": "707-651-2318"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MINI",
        "first_name": "MARLA",
        "middle_name": "LYNN",
        "credential": "RRT, RCP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-16",
        "last_updated": "2022-01-03",
        "certification_date": "2020-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2279P1005X",
            "taxonomy_group": "",
            "desc": "Respiratory Therapist, Registered, Pulmonary Rehabilitation",
            "state": "CA",
            "license": "4677",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ncalceq",
            "affiliation": "Y",
            "endpointDescription": "Carequality",
            "affiliationName": "The Permanente Medical Group",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "C-CDA",
            "address_1": "800 Sereno Dr",
            "city": "Vallejo",
            "state": "CA",
            "country_code": "US",
            "postal_code": "945892411",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Sabrena Miller, OTRL/SWC
• Stephen Douglas Miller, LCSW
• Tanossa Miller
• Timothy Charles Miller, MD
• Millies Paradise Homes Inc
• Jacqueline Minor
• George Minowada, MD
• Judea Mintalar
• Emilio Mirabilio
• Azra Mirza

• Registered Respiratory Therapist in Vallejo, CA
• Providers in Vallejo, CA by specialty
• Registered Respiratory Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2022; 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.