Active NPI
Paul Nicholas Marinos, DPM
- Foot & Ankle Surgery Podiatrist
- Walnut Creek, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- E6043
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 37 |
| Removal of skin lesions | 17 |
| Removal of nail tissue | 127 |
| Removal or shaving of skin growth | 73 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6043 | CA | MD | Pediatrics Physician |
| E6043 | CA | MD | Foot & Ankle Surgery Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| County of Santa Clara | Current | Accepting new patients | |
| Bass Medical Group | Current | Accepting new patients | |
| Bass Medical Group | Current | Accepting new patients | |
| Bruce I Lerman DPM, Inc | Foot & Ankle Surgery | Current | Accepting new patients |
| John Muir Trauma Physicians Billing Service | Current | Accepting new patients | |
| County of Santa Clara | Current | Accepting new patients | |
| County of Santa Clara | Current | Accepting new patients | |
| County of Santa Clara | Current | Accepting new patients | |
| County of Santa Clara | Current | Accepting new patients | |
| Bass Medical Group | Current | 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
- 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.
-
- Obstetrics & Gynecology Physician
- Walnut Creek, CA
- NPI 1174253405
-
- Foot & Ankle Surgery Podiatrist
- Los Gatos, CA
- NPI 1033434204
-
- Anesthesiology Physician
- San Jose, CA
- NPI 1588721500
-
- Federally Qualified Health Center (FQHC)
- San Jose, CA
- NPI 1629301346
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- San Jose, CA
- NPI 1699885079
-
- Hospitalist Physician
- Walnut Creek, CA
- NPI 1093864837
-
- Orthopaedic Surgery Physician
- Castro Valley, CA
- NPI 1093181646
-
- Orthopaedic Surgery Physician
- San Ramon, CA
- NPI 1467329904
-
- Federally Qualified Health Center (FQHC)
- San Jose, CA
- NPI 1043354020
-
- Pharmacy
- San Jose, CA
- NPI 1891871919
-
- Clinic/Center
- Mountain View, CA
- NPI 1912650672
-
- Trauma Surgery Physician
- Walnut Creek, CA
- NPI 1962551861
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Walnut Creek, CA
- NPI 1740215219
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.