Active NPI
Marvous Saunders, MD
- Dermatology Physician
- Santa Ana, CA
National Provider Identifier
1831147024
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- G17298
- Practice address
- 2621 South Bristol
#102
Santa Ana, CA 92704 - Phone
- (714) 662-1771
- Fax
- (714) 662-1116
- NPI assigned
- May 4, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | G17298 | CA | Primary |
Addresses
Primary practice location
2621 South Bristol
#102
Santa Ana, CA 92704
Mailing address
2621 South Bristol
#102
Santa Ana, CA 92704
Phone (714) 662-1771
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| G00G172980 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G17298 | CA | MD | Dermatology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146700800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1831147024",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2621 SOUTH BRISTOL",
"address_2": "#102",
"city": "SANTA ANA",
"state": "CA",
"postal_code": "92704",
"telephone_number": "714-662-1771",
"fax_number": "714-662-1116"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2621 SOUTH BRISTOL",
"address_2": "#102",
"city": "SANTA ANA",
"state": "CA",
"postal_code": "92704",
"telephone_number": "714-662-1771",
"fax_number": "714-662-1116"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SAUNDERS",
"first_name": "MARVOUS",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-04",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "CA",
"license": "G17298",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "G00G172980",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Santa Ana, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.