Individual provider Active NPI

Manish Marolia, M.D.

  • Pediatrics Physician
  • Fountain Valley, CA
National Provider Identifier
1962581363
Registry record updated May 9, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
A67462 Issued in CA
Practice address
11180 Warner Ave # 380
Fountain Valley, CA 92708-7501
Phone
(714) 596-5557
Fax
(714) 486-1604
NPI assigned
Nov 4, 2006
Last updated
May 9, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 9, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A67462 CA
Pediatrics Physician 208000000X A67462 CA Primary

Addresses

Primary practice location

11180 Warner Ave # 380
Fountain Valley, CA 92708-7501

Mailing address

11180 Warner Ave # 380
Fountain Valley, CA 92708-7501
Phone (714) 596-5557

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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070424000357 CA Practitioner - Pediatric MedicinePractitioner - Internal Medicine 4789789579 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pediatric MedicineAlso: Internal Medicine
Education
University of Southern California Keck School of Medicine, 1997
Medicare assignment
May accept Medicare assignment
Group practices
Family Choice Aco IncGroup PAC ID 7719379395, 60 clinicians

Practice addresses (Care Compare)

11180 Warner Ave
Suite 380
Fountain Valley, CA 92708-7504
Phone (714) 596-5557

7631 Wyoming St
Suite 201
Westminster, CA 92683-3904
Phone (714) 898-0765

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Family Choice Aco Inc Internal Medicine CurrentSince Jan 1, 2022 Accepting new patients
Manish B. Marolia, M.D., Inc. Internal Medicine CurrentSince Dec 1, 2006 Accepting new patients
Orange Coast Memorial Medical Center Past Accepting new patients
Hoag Memorial Hospital Presbyterian Past Accepting new patients
Orange County Global Medical Center, Inc Past Accepting new patients

Locations

11180 Warner Ave
Ste 380
Fountain Valley, CA 92708
Phone (714) 596-5557

17752 Beach Blvd
Ste 303
Huntington Beach, CA 92647
Phone (714) 596-5557

17822 Beach Blvd
Ste 473
Huntington Beach, CA 92647
Phone (714) 274-9536

7631 Wyoming St
Ste 201
Westminster, CA 92683
Phone (714) 898-0765

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 5

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.

Hospital & facility affiliations 3

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": "1162598400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557360000000",
    "number": "1962581363",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11180 WARNER AVE # 380",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927087501",
            "telephone_number": "714-596-5557",
            "fax_number": "714-486-1604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11180 WARNER AVE # 380",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927087501",
            "telephone_number": "714-596-5557",
            "fax_number": "714-486-1604"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAROLIA",
        "first_name": "MANISH",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-04",
        "last_updated": "2019-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A67462",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "A67462",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fountain Valley, CA

Sources for this page

Verify at the official NPI Registry.