Individual provider Active NPI

Paul Nicholas Marinos, DPM

  • Foot & Ankle Surgery Podiatrist
  • Walnut Creek, CA
National Provider Identifier
1881270940
Registry record updated Sep 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
E6043 Issued in CA
Practice address
2637 Shadelands Dr
Walnut Creek, CA 94598-2512
Phone
(925) 464-1982
Fax
(925) 464-2042
NPI assigned
Mar 19, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X E6043 CA Primary
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

2637 Shadelands Dr
Walnut Creek, CA 94598-2512

Mailing address

2637 Shadelands Dr
Walnut Creek, CA 94598-2512
Phone (925) 464-1982

Other practice location 1

2350 Country Hills Dr Ste A
Antioch, CA 94509-7436
Phone (925) 464-1982

Other practice location 2

12677 Alcosta Blvd Ste 180
San Ramon, CA 94583-4423
Phone (925) 464-1982

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240710003774 CA Practitioner - Podiatry 5092250456 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
New York College of Podiatric Medicine, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bass Medical GroupGroup PAC ID 9032111281, 292 clinicians

Practice addresses (Care Compare)

2637 Shadelands Dr
Walnut Creek, CA 94598-2512
Phone (925) 378-4512

Hospital & facility affiliations

  • John Muir Medical Center - Walnut Creek Campus Hospital, Walnut Creek, CA, CCN 050180

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue37
Removal of skin lesions17
Removal of nail tissue127
Removal or shaving of skin growth73
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6043CAMDPediatrics Physician
E6043CAMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
County of Santa Clara CurrentSince Nov 21, 2024 Accepting new patients
Bass Medical Group Current Accepting new patients
Bass Medical Group CurrentSince Sep 1, 2025 Accepting new patients
Bruce I Lerman DPM, Inc Foot & Ankle Surgery CurrentSince Aug 1, 2024 Accepting new patients
John Muir Trauma Physicians Billing Service CurrentSince Jun 22, 2025 Accepting new patients
County of Santa Clara CurrentSince Nov 21, 2024 Accepting new patients
County of Santa Clara CurrentSince Nov 21, 2024 Accepting new patients
County of Santa Clara CurrentSince Nov 21, 2024 Accepting new patients
County of Santa Clara Current Accepting new patients
Bass Medical Group CurrentSince Sep 1, 2025 Accepting new patients
John Muir Trauma Physicians Billing Service Current Accepting new patients
County of Santa Clara Current Accepting new patients
James G Elipas DPM PC Foot & Ankle Surgery Past Accepting new patients
Bass Medical Group Past Accepting new patients
Bass Medical Group Past Accepting new patients

Locations

1505 Saint Alphonsus Way
Alamo, CA 94507
Phone (925) 837-4225

2350 Country Hills Dr
Ste A
Antioch, CA 94509
Phone (925) 464-1982

7475 Camino Arroyo
Gilroy, CA 95020
Phone (408) 852-2400

555 Knowles Dr
Ste 117
Los Gatos, CA 95032
Phone (408) 292-8800

750 S Bascom Ave
San Jose, CA 95128
Phone (408) 885-2320

2101 Alexian Dr
San Jose, CA 95116
Phone (408) 272-6050

500 Tully Rd
San Jose, CA 95111
Phone (408) 817-1433

751 S Bascom Ave
San Jose, CA 95128
Phone (408) 885-5110

2039 Forest Ave
Ste 206
San Jose, CA 95128
Phone (408) 297-4850

125 Ciro Ave
Ste 201
San Jose, CA 95128
Phone (408) 947-2500

1993 McKee Rd
San Jose, CA 95116
Phone (408) 254-6320

1996 Lundy Ave
San Jose, CA 95131
Phone (408) 299-5846

12677 Alcosta Blvd
Ste 180
San Ramon, CA 94583
Phone (925) 464-1982

660 S Fair Oaks Ave
Sunnyvale, CA 94086
Phone (408) 885-7366

1601 Ygnacio Valley Rd
Walnut Creek, CA 94598
Phone (925) 295-1545

2637 Shadelands Dr
Walnut Creek, CA 94598
Phone (925) 627-3424

Interoperability endpoints

  • Direct secure messaging: pmarinos224601@santaclaravalley.direct-ci.net

Organizations & group practices 15

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.

View all 15

Hospital & facility affiliations 1

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": "1616112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788220800000",
    "number": "1881270940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2637 SHADELANDS DR",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945982512",
            "telephone_number": "925-464-1982",
            "fax_number": "925-464-2042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2637 SHADELANDS DR",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945982512",
            "telephone_number": "925-464-1982",
            "fax_number": "925-464-2042"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2350 Country Hills Dr Ste A",
            "address_purpose": "LOCATION",
            "city": "Antioch",
            "state": "CA",
            "postal_code": "945097436",
            "country_code": "US",
            "telephone_number": "925-464-1982",
            "fax_number": "925-464-2042",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "12677 Alcosta Blvd Ste 180",
            "address_purpose": "LOCATION",
            "city": "San Ramon",
            "state": "CA",
            "postal_code": "945834423",
            "country_code": "US",
            "telephone_number": "925-464-1982",
            "fax_number": "925-464-2042",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARINOS",
        "first_name": "PAUL",
        "middle_name": "NICHOLAS",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-03-19",
        "last_updated": "2026-09-01",
        "certification_date": "2026-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "CA",
            "license": "E6043",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Walnut Creek, CA

Sources for this page

Verify at the official NPI Registry.