Venus Macias Marin, NP(NURSE PRACTITIONE

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

584175 Issued in CA

Practice address

3130 S Harbor Blvd
250
Santa Ana, CA 92704-6824

Phone

(714) 619-8777

Fax

(714) 619-8770

NPI assigned

Nov 7, 2006

Last updated

Aug 27, 2009By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Venus Macias Perez Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

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.

• GN Medical Associates, Inc.

  dba Gerinet Medical Associates

  • Family Medicine Physician
  • Costa Mesa, CA
  • NPI 1275576522
  NPD (past)
• Hospice Touch, Inc.

  dba Bristol Hospice - Orange County

  • Community Based Hospice Care Agency
  • Costa Mesa, CA
  • NPI 1497758593
  NPD (past)

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

{
    "created_epoch": "1162857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1251331200000",
    "number": "1821167214",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2211 PONDEROSA ST",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927057931",
            "telephone_number": "714-550-9789"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3130 S HARBOR BLVD",
            "address_2": "250",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927046824",
            "telephone_number": "714-619-8777",
            "fax_number": "714-619-8770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARIN",
        "first_name": "VENUS",
        "middle_name": "MACIAS",
        "name_prefix": "Mrs.",
        "credential": "NP(NURSE PRACTITIONE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-07",
        "last_updated": "2009-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "16914",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "584175",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RN",
            "identifier": "584175",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "VENUS",
            "last_name": "PEREZ",
            "middle_name": "MACIAS",
            "credential": "NP(NURSE PRACTITIONE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jennifer Marin
• Nancy Trinidad Marin, PPS
• Robert Marin
• Roberto Antonio Marin, PA-C
• Valerie Marin
• Yellena Margarita Marin, RN
• Christopher Andreas Marinakis, PTA
• Mariners Physical Therapy, Inc.
• Marinia Group, Inc. (Marinia Academy)
• Dana L Marino

• Nurse Practitioner in Santa Ana, CA
• Providers in Santa Ana, CA by specialty
• Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2009; 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.