Individual provider Active NPI

Marion G. Pellegrini, NURSE PRACTITIONER

  • Nurse Practitioner
  • San Francisco, CA
National Provider Identifier
1780018259
Registry record updated Mar 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
95010221 Issued in CA
Practice address
1380 Howard St FL 2
San Francisco, CA 94103-2649
Phone
(628) 754-9241
Fax
(628) 754-9582
NPI assigned
Sep 2, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 95010221 CA Primary
Registered Nurse 163W00000X 752586 CA

Addresses

Primary practice location

1380 Howard St FL 2
San Francisco, CA 94103-2649

Mailing address

1380 Howard St FL 2
San Francisco, CA 94103-2649
Phone (628) 754-9241

Other names 1

  • Mr. Marion Pellegrini Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230816002850 CA Practitioner - Nurse Practitioner 7810229572 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
95010221CAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Lyon-Martin Community Health Services CurrentSince Jun 28, 2023 Accepting new patients
Asian and Pacific Islander Wellness Center, Inc. PastSince Feb 12, 2023 Accepting new patients

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1378080000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773964800000",
    "number": "1780018259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1380 HOWARD ST FL 2",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941032649",
            "telephone_number": "628-754-9241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1380 HOWARD ST FL 2",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941032649",
            "telephone_number": "628-754-9241",
            "fax_number": "628-754-9582"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PELLEGRINI",
        "first_name": "MARION",
        "middle_name": "G.",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-09-02",
        "last_updated": "2026-03-20",
        "certification_date": "2026-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "95010221",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "752586",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARION",
            "last_name": "PELLEGRINI",
            "prefix": "MR.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in San Francisco, CA

Sources for this page

Verify at the official NPI Registry.