Individual provider Active NPI

Marin Alisa McDonald, MD, PHD

  • Neuroradiology Physician
  • San Diego, CA
National Provider Identifier
1861734212
Registry record updated Jun 15, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neuroradiology PhysicianTaxonomy code 2085N0700X
License
A131218 Issued in CA
Practice address
200 W Arbor Dr
San Diego, CA 92103
Phone
(619) 471-9240
Fax
(619) 471-9245
NPI assigned
Mar 25, 2013
Last updated
Jun 15, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neuroradiology Physician 2085N0700X A131218 CA Primary

Addresses

Primary practice location

200 W Arbor Dr
San Diego, CA 92103

Mailing address

PO Box 232410
San Diego, CA 92193-2410

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, NJ, WA3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20180705002340 CA Practitioner - Diagnostic Radiology 7012263031 Reassigns benefits to 9 organizations
I20231010000879 NJ Practitioner - Diagnostic Radiology 7012263031 Reassigns benefits to 1 organization
I20240226001382 WA Practitioner - Diagnostic Radiology 7012263031 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of California, San Diego School of Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
New Century Imaging LLCGroup PAC ID 4082517370, 61 clinicians
Prima Medical FoundationGroup PAC ID 6406040138, 30 clinicians
California Pacific Advanced ImagingGroup PAC ID 0143258764, 2 clinicians
Proliance Surgeons Inc P SGroup PAC ID 8527972900, 395 clinicians
Monterey Spine and Joint PCGroup PAC ID 0840295721, 75 clinicians

Practice addresses (Care Compare)

Orange, CA 92869
Phone (415) 464-8081

100 A Drake's Landing Rd
Suite 225
Greanbrae, CA 94904-3119
Phone (415) 924-1214

1146 N Palo Loma PL
Orange, CA 92869-1444
Phone (415) 464-8081

1724 W Union Ave
Suite B 100
Tacoma, WA 98405-2099
Phone (253) 830-5200

21 Lower Ragsdale Dr
Monterey, CA 93940-5827
Phone (831) 648-7200

555 Kinderkamack Rd
Oradell, NJ 07649-1517
Phone (201) 488-2660

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A131218CAMDNeuroradiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cher, LLC CurrentSince Jun 12, 2023 Accepting new patients
Proliance Surgeons Inc P S Current Accepting new patients
Cher, LLC CurrentSince May 26, 2023 Accepting new patients
Cher, LLC CurrentSince Jun 12, 2023 Accepting new patients
Cher, LLC CurrentSince Jun 19, 2023 Accepting new patients
Proliance Surgeons, Inc., P.S. CurrentSince Dec 11, 2023 Accepting new patients
Scltdi JV, LLC CurrentSince Jul 1, 2023 Accepting new patients
Health Imaging Partners, LLC CurrentSince Jul 19, 2023 Accepting new patients
Sutter Valley Medical Foundation CurrentSince Dec 1, 2025 Accepting new patients
Regents of the University of California Ucsd Department of Radiology CurrentSince May 16, 2018 Accepting new patients
Proliance Surgeons Inc P S CurrentSince Dec 11, 2023 Accepting new patients
Cher LLC CurrentSince Jun 14, 2023 Accepting new patients
Cher, LLC CurrentSince May 26, 2023 Accepting new patients
Cher, LLC CurrentSince Jun 19, 2023 Accepting new patients
Scltdi JV, LLC CurrentSince Jul 1, 2023 Accepting new patients
Cher LLC CurrentSince Jul 16, 2026 Accepting new patients
Scltdi JV, LLC CurrentSince Jul 1, 2023 Accepting new patients
Oklahoma Surgical Hospital, LLC CurrentSince Sep 28, 2023 Accepting new patients
Scltdi JV, LLC CurrentSince Jul 1, 2023 Accepting new patients
Cher, LLC CurrentSince Jun 13, 2023 Accepting new patients
Cher, LLC CurrentSince Jul 1, 2023 Accepting new patients
Regents of the University of California Neuroradiology CurrentSince May 16, 2018 Accepting new patients
Cher, LLC CurrentSince Aug 15, 2024 Accepting new patients
Cher, LLC CurrentSince Jun 13, 2023 Accepting new patients
Cher, LLC CurrentSince Jul 1, 2023 Accepting new patients
Cher LLC CurrentSince Jun 19, 2023 Accepting new patients
Cher, LLC CurrentSince Jun 12, 2023 Accepting new patients
Scltdi JV, LLC CurrentSince Jul 1, 2023 Accepting new patients
Doctors Resources Company, LLC CurrentSince Jun 1, 2024 Accepting new patients
Sutter Valley Medical Foundation Current Accepting new patients
Scltdi JV, LLC CurrentSince Jul 1, 2023 Accepting new patients
Cher LLC CurrentSince Jun 19, 2023 Accepting new patients
Salinas Valley Advanced Imaging Center Corporation CurrentSince Mar 1, 2026 Accepting new patients
New Century Imaging LLC CurrentSince Jul 5, 2023 Accepting new patients
Colorado Springs Imaging LLC CurrentSince Jun 19, 2023 Accepting new patients
Sutter Valley Medical Foundation CurrentSince Dec 1, 2025 Accepting new patients
Scltdi JV, LLC CurrentSince Jul 1, 2023 Accepting new patients
Cher LLC CurrentSince Jul 19, 2023 Accepting new patients
Prima Medical Foundation CurrentSince Sep 2, 2023 Accepting new patients
Cher LLC CurrentSince May 26, 2023 Accepting new patients
Cher, LLC CurrentSince Jun 12, 2023 Accepting new patients
Colorado Springs Imaging LLC CurrentSince Jul 1, 2023 Accepting new patients
Monterey Spine & Joint PC CurrentSince Jul 29, 2023 Accepting new patients
California Advanced Imaging Medical Associates Inc Neuroradiology CurrentSince Jul 1, 2023 Accepting new patients
California Pacific Advanced Imaging CurrentSince May 23, 2023 Accepting new patients
Monterey Spine & Joint PC CurrentSince Jul 29, 2023 Accepting new patients
Cher, LLC CurrentSince Jul 1, 2023 Accepting new patients
Scltdi JV, LLC CurrentSince Jul 1, 2023 Accepting new patients
Regents Univ of California UCSF Past Accepting new patients
Prima Medical Group, Inc. Past Accepting new patients
Sutter Regional Medical Foundation Past Accepting new patients
Regents of the University of California Past Accepting new patients
Montage Surgical Group Past Accepting new patients
Regents of the University of California Ucsd Head and Neck Surgery Past Accepting new patients

Locations (25 of 35)

2720 Low Ct
Fairfield, CA 94534
Phone (707) 428-2731

100 Drakes Landing Rd
Ste 140
Greenbrae, CA 94904
Phone (415) 461-4282

100A Drakes Landing Rd
Ste 225
Greenbrae, CA 94904
Phone (415) 924-1214

1240 S Eliseo Dr
Ste 103
Greenbrae, CA 94904
Phone (415) 461-7770

1260 S Eliseo Dr
Fl 2
Greenbrae, CA 94904
Phone (415) 464-1350

1260 S Eliseo Dr
Ste 100B
Greenbrae, CA 94904
Phone (415) 461-9033

1260 S Eliseo Dr
Ste 101
Greenbrae, CA 94904
Phone (415) 461-9033

1350 S Eliseo Dr
Ste 140
Greenbrae, CA 94904
Phone (415) 925-7450

815 Court St
Ste 7
Jackson, CA 95642
Phone (209) 257-5900

5176 Hill Rd E
Lakeport, CA 95453
Phone (707) 262-5000

600 Coffee Rd
Modesto, CA 95355
Phone (209) 550-4755

12 Upper Ragsdale Dr
Monterey, CA 93940
Phone (831) 264-6060

21 Lower Ragsdale Dr
Monterey, CA 93940
Phone (831) 264-6040

180 Rowland Way
Novato, CA 94945
Phone (415) 209-1300

75 Rowland Way
Ste 250
Novato, CA 94945
Phone (415) 878-2910

2800 L St
Ste 500
Sacramento, CA 95816
Phone (916) 454-6850

200 W Arbor Dr
San Diego, CA 92103
Phone (619) 543-5754

8929 University Center Ln
Ste 101
San Diego, CA 92122
Phone (858) 457-4227

1101 Van Ness Ave
San Francisco, CA 94109
Phone (415) 485-8824

3555 Cesar Chavez
San Francisco, CA 94110
Phone (415) 485-8824

4000 Civic Center Dr
Ste 209
San Rafael, CA 94903
Phone (415) 492-4840

347 Andrieux St
Sonoma, CA 95476
Phone (707) 935-5000

250 W Main St
Woodland, CA 95695
Phone (916) 668-6100

555 Kinderkamack Rd
Oradell, NJ 07649
Phone (201) 261-2400

130 Kinderkamack Rd
Ste 200
River Edge, NJ 07661

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/37d0fa6b-e0f7-4581-adbb-f9e2eac855e1/
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: marin.mcdonald.p1@direct.msjhealth.nextgenshare.com

Organizations & group practices 54

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.

View all 54

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1364169600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529020800000",
    "number": "1861734212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 232410",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921932410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 W ARBOR DR",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "92103",
            "telephone_number": "619-471-9240",
            "fax_number": "619-471-9245"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCDONALD",
        "first_name": "MARIN",
        "middle_name": "ALISA",
        "name_prefix": "Dr.",
        "credential": "MD, PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-03-25",
        "last_updated": "2018-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085N0700X",
            "taxonomy_group": "",
            "desc": "Radiology, Neuroradiology",
            "state": "CA",
            "license": "A131218",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

Verify at the official NPI Registry.