Marvin L Engel MD Inc

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

A019111 Issued in CA

Legal business name

MARVIN L ENGEL MD INC

Practice address

130 La Casa Via
BLDG 2 Suite 110
Walnut Creek, CA 94598-3045

Phone

(925) 939-9303

Fax

(925) 939-7518

NPI assigned

Nov 7, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Marvin Leroy Engel, MD

Title

President

Phone

(925) 939-9303

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1194393600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194393600000",
    "number": "1861672800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 LA CASA VIA",
            "address_2": "BLDG 2 SUITE 110",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945983045",
            "telephone_number": "925-939-9303",
            "fax_number": "925-939-7518"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 LA CASA VIA",
            "address_2": "BLDG 2 SUITE 110",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945983045",
            "telephone_number": "925-939-9303",
            "fax_number": "925-939-7518"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARVIN L ENGEL MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-07",
        "last_updated": "2007-11-07",
        "status": "A",
        "authorized_official_last_name": "ENGEL",
        "authorized_official_first_name": "MARVIN",
        "authorized_official_middle_name": "LEROY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "925-939-9303",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": "CA",
            "license": "A019111",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Ann Martino, MD
• Bruce Allyn Marts, DO
• Lara Martz
• Lynne Dian Martz, DDS
• Samantha Marucut
• Marzel'S Inc.
• Christopher Apostol Mascarinas, M.D.
• Trevor English Masland
• Douglas R. Mason, MD
• Kelly Ann Mason, M.S., CCC-SLP

• Dermatology Physician in Walnut Creek, CA
• Providers in Walnut Creek, CA by specialty
• Dermatology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2007; 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.