Manish B. Marolia, M.D., Inc.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

A67462 Issued in CA

Legal business name

MANISH B. MAROLIA, M.D., INC.

Practice address

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

Phone

(714) 596-5557

Fax

(714) 486-1604

NPI assigned

Jul 30, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Manish B Marolia, M.D.NPI 1962581363

Title

M.D./ Ceo

Phone

(714) 596-5557

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Manish Marolia, M.D.

  • Pediatrics Physician
  • Fountain Valley, CA
  • NPI 1962581363

  Internal Medicine

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1154217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1562630400000",
    "number": "1982619672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11180 WARNER AVE STE 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 STE 380",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927087501",
            "telephone_number": "714-596-5557",
            "fax_number": "714-486-1604"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANISH B. MAROLIA, M.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-30",
        "last_updated": "2019-07-09",
        "status": "A",
        "authorized_official_last_name": "MAROLIA",
        "authorized_official_first_name": "MANISH",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "M.D./ CEO",
        "authorized_official_telephone_number": "714-596-5557",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A67462",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "A67462",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A674620",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kamini Malhotra, MD
• Elisabeth Vanessa Malin, M.D.
• Roland John C Mallari, PT, DPT
• Geremy Mamaclay
• Gaytri Manek, MD
• Janninne Manjarrez
• Hannah Manning, PA-C
• Manor Care of Fountain Valley Ca, LLC
• Adrian A Manrique
• Sal L Manrriquez, D.D.S.

• Pediatrics Physician in Fountain Valley, CA
• Providers in Fountain Valley, CA by specialty
• Pediatrics Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.