Marinelli & Feldman MDS

Primary specialty

Urology PhysicianTaxonomy code 208800000X

License

G59971 Issued in CA

Legal business name

MARINELLI & FELDMAN MDS

Practice address

1915 Sunny Crest Dr
Fullerton, CA 92835-3626

Phone

(714) 879-2410

Fax

(714) 879-5340

NPI assigned

Sep 20, 2006

Last updated

Sep 15, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Angelica Maria Reyes

Title

Office Manager

Phone

(714) 879-2410

Specialties & licenses 2

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Tax ID family

Marinelli Feldman MDS2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Marinelli & Feldman, M.D.'S

  • Urology Physician
  • Brea, CA
  • NPI 1851587885
  NPD tax ID

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPDPlans: Blue Shield 65 Plus (HMO) (H0504-015-000, H0504); Blue Shield 65 Plus (HMO) (H0504-039-000, H0504); Blue Shield 65 Plus Plan 2 (HMO) (H0504-021-000, H0504); Blue Shield Inspire (HMO) (H0504-041-000, H0504); Blue Shield 65 Plus (HMO) (H0504-038-000, H0504); Blue Shield Inspire (HMO) (H0504-047-000, H0504); Blue Shield 65 Plus (HMO) (H0504-026-000, H0504); Blue Shield Advantage (HMO) (H0504-050-000, H0504); Blue Shield AdvantageOptimum Plan (HMO) (H5928-004-000, H5928); Blue Shield Inspire (HMO) (H0504-043-000, H0504)…

Interoperability endpoints

• Direct secure messaging: alialavi@mandf.medalliesdirect.net
• Direct secure messaging: michaelmaidaa@mandf.medalliesdirect.net

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Michael Maidaa

  • Urology Physician
  • Fullerton, CA
  • NPI 1366008641
  Medicare reassignment Care Compare group NPD
• Ali S Alavi, M.D.

  • Urology Physician
  • Fullerton, CA
  • NPI 1508936592
  Medicare reassignment Care Compare group
• Alexa Y Chai, M.D.

  • Urology Physician
  • Los Alamitos, CA
  • NPI 1437393303
  Medicare reassignment Care Compare group
• Derrick V Marinelli, M.D.

  • Urology Physician
  • Fullerton, CA
  • NPI 1689897761
  Medicare reassignment NPD
• Nichole Suzanne Atherton, MD

  • Surgery Physician
  • Visalia, CA
  • NPI 1881875185
  NPD (past)
• Theodoros Michael Daskalakis, MD

  • Surgery Physician
  • Fullerton, CA
  • NPI 1467409250
  NPD (past)
• Bichlan DO, M.D.

  • Child & Adolescent Psychiatry Physician
  • San Jose, CA
  • NPI 1558570119
  NPD (past)
• Kenneth Edwin Schemmer, M.D.

  • Specialist
  • Placentia, CA
  • NPI 1619066867
  NPD (past)

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1600128000000",
    "number": "1851498133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1915 SUNNY CREST DR",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928353626",
            "telephone_number": "714-879-2410",
            "fax_number": "714-879-5340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1915 SUNNY CREST DR",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928353626",
            "telephone_number": "714-879-2410",
            "fax_number": "714-879-5340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARINELLI & FELDMAN MDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2020-09-15",
        "certification_date": "2020-09-15",
        "status": "A",
        "authorized_official_last_name": "REYES",
        "authorized_official_first_name": "ANGELICA",
        "authorized_official_middle_name": "MARIA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "714-879-2410"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Urology",
            "state": "CA",
            "license": "G59971",
            "primary": true
        },
        {
            "code": "208800000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Urology",
            "state": "CA",
            "license": "A79874",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA",
            "identifier": "05D0684380",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDI CAL RENDERING",
            "identifier": "G41816",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDI-CAL RENDERING",
            "identifier": "G59971",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0011581",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Maria V. Santos, D.M.D., Inc (Victory Dental Practice)
• Christy Marilo, PT,MPT,PCS
• Briana Michelle Marin
• Kimberly Amber Marin
• Maria Jesus Marin
• Derrick V Marinelli, M.D.
• Donna Marino, DO
• Michael Marino, D.O.
• Marites Perez Lunastar, Dental Practice Inc (Lunastar Dental)
• Mark M. Song, M.D., Inc.

• Urology Physician in Fullerton, CA
• Providers in Fullerton, CA by specialty
• Urology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.