Individual provider Active NPI

Marilyn Ann Mehlmauer, MD

  • Dermatopathology Physician
  • Pasadena, CA
National Provider Identifier
1831389964
Registry record updated Jun 16, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatopathology PhysicianTaxonomy code 207ND0900X
License
G035270 Issued in CA
Practice address
10 Congress St Ste 320
Pasadena, CA 91105-3023
Phone
(626) 585-9474
Fax
(626) 585-9480
NPI assigned
Jul 25, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatopathology Physician 207ND0900X G035270 CA Primary
Procedural Dermatology Physician 207NS0135X G035270 CA

Addresses

Primary practice location

10 Congress St Ste 320
Pasadena, CA 91105-3023

Mailing address

10 Congress St Ste 320
Pasadena, CA 91105-3023
Phone (626) 585-9474

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111121000834 CA Practitioner - Dermatology 4587622030 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Csi Medical Group Dermatopathology CurrentSince Aug 1, 2019 Accepting new patients
David B. Friedman, MD, Inc Dermatopathology Current Accepting new patients
Carlsbad and Vista Dermatology, Inc. PastSince Jul 1, 2017 Accepting new patients

Locations

1165 N Euclid St
Anaheim, CA 92801
Phone (714) 991-9990

1700 N Rose Ave
Ste 450
Oxnard, CA 93030
Phone (805) 201-2821

10 Congress St
Ste 320
Pasadena, CA 91105
Phone (626) 585-9474

4201 Torrance Blvd
Ste 640
Torrance, CA 90503
Phone (310) 375-9994

1934 Via Ctr
Ste B
Vista, CA 92081
Phone (760) 295-2299

Organizations & group practices 3

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": "1185321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1308182400000",
    "number": "1831389964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 CONGRESS ST STE 320",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911053023",
            "telephone_number": "626-585-9474",
            "fax_number": "626-585-9480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 CONGRESS ST STE 320",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911053023",
            "telephone_number": "626-585-9474",
            "fax_number": "626-585-9480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEHLMAUER",
        "first_name": "MARILYN",
        "middle_name": "ANN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-25",
        "last_updated": "2011-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ND0900X",
            "taxonomy_group": "",
            "desc": "Dermatology, Dermatopathology",
            "state": "CA",
            "license": "G035270",
            "primary": true
        },
        {
            "code": "207NS0135X",
            "taxonomy_group": "",
            "desc": "Dermatology, Procedural Dermatology",
            "state": "CA",
            "license": "G035270",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pasadena, CA

Sources for this page

Verify at the official NPI Registry.