Marvin L Engel, MD

Primary specialty

Dermatopathology PhysicianTaxonomy code 207ND0900X

License

A019111 Issued in CA

Practice address

2255 Ygnacio Valley Rd
B1
Walnut Creek, CA 94598-3343

Phone

(925) 945-7005

Fax

(925) 945-7084

NPI assigned

Jul 12, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Marvin L Engel, MD, Inc. Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1121126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1500422400000",
    "number": "1902804289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "169 REQUA RD",
            "city": "PIEDMONT",
            "state": "CA",
            "postal_code": "946114037",
            "telephone_number": "510-547-2975",
            "fax_number": "510-658-1651"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2255 YGNACIO VALLEY RD",
            "address_2": "B1",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945983343",
            "telephone_number": "925-945-7005",
            "fax_number": "925-945-7084"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ENGEL",
        "first_name": "MARVIN",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-12",
        "last_updated": "2017-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ND0900X",
            "taxonomy_group": "",
            "desc": "Dermatology, Dermatopathology",
            "state": "CA",
            "license": "A019111",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARVIN",
            "last_name": "ENGEL, MD, INC.",
            "middle_name": "L",
            "prefix": "DR.",
            "credential": "MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Heather Emswiler
• Miguel Cubol Endaya
• Paul T. Endo, M.D.
• Tsui Wai Christine Eng, D.D.S.
• Karl Erik Engdahl, DDS. PRACTICE LIMITE
• Barry Engelstad, M.D.
• Rosalind Englander-Calo, LMFT
• Monica Englander, LCSW
• Ray Engstrom, MD
• Melissa Louise Ennen, M.D.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2017; 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.