Marianne Botros Ayad, M.D.

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

A106240 Issued in CA

Practice address

4051 Via Dolce
Marina del Rey, CA 90292-5027

Phone

(310) 306-4346

Fax

(310) 306-3177

NPI assigned

Oct 15, 2009

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Marianne Botros Yousef Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

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

{
    "created_epoch": "1255564800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1280188800000",
    "number": "1770818395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4051 VIA DOLCE",
            "city": "MARINA DEL REY",
            "state": "CA",
            "postal_code": "902925027",
            "telephone_number": "310-306-4346",
            "fax_number": "310-306-3177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4051 VIA DOLCE",
            "city": "MARINA DEL REY",
            "state": "CA",
            "postal_code": "902925027",
            "telephone_number": "310-306-4346",
            "fax_number": "310-306-3177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AYAD",
        "first_name": "MARIANNE",
        "middle_name": "BOTROS",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-10-15",
        "last_updated": "2010-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "CA",
            "license": "A106240",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARIANNE",
            "last_name": "YOUSEF",
            "middle_name": "BOTROS",
            "credential": "M.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

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• Primary Care Clinic/Center in Marina del Rey, CA
• Providers in Marina del Rey, CA by specialty
• Primary Care Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2010; 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.