MARINA ORTHO, INC. (NPI# 1184134892) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1184134892 |
Entity Type | Organization |
Organization Name | MARINA ORTHO, INC. |
Other Organization Name | DIAGNOSTIC AND INTERVENTIONAL SPINE CARE, A MEDICAL CORPORATION |
Practice Address |
13160 Mindanao Way Ste 300 Marina Del Rey CA 90292-6393 |
Practice Telephone | 3105740367 |
Mailing Telephone | 3105740367 |
Enumeration Date | 2017-10-08 |
Last Update Date | 2017-10-28 |
Authorized Official Name | DAWN MARIE KENNEDY (PRACTICE ADMINISTRATOR) |
Authorized Official Telephone | 3105740367 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgery | Allopathic & Osteopathic Physicians | ||
Y | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
Ambulatory Health Care Facilities |
Other Name | Type Code |
---|---|
DIAGNOSTIC AND INTERVENTIONAL SPINE CARE, A MEDICAL CORPORATION | Other Name - Individual/Organization |
Street Address |
13160 MINDANAO WAY STE 300 |
City | MARINA DEL REY |
State | CA |
Zip Code | 90292-6393 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1457414989 | Dennis Yun | Anesthesiology | 13160 Mindanao Way Ste 300, Marina Del Rey, CA 90292-6393 | 2006-12-18 |
1942776307 | Alexis E. Dixon, Md, Inc | Orthopaedic Surgery | 13160 Mindanao Way Ste 300, Marina Del Rey, CA 90292-6393 | 2018-10-23 |
1851866511 | Elaine Kim | Orthopaedic Surgery | 13160 Mindanao Way Ste 300, Marina Del Rey, CA 90292-6393 | 2018-10-09 |
1669984365 | Rojeh Melikian, Md Inc | Orthopaedic Surgery | 13160 Mindanao Way Ste 300, Marina Del Rey, CA 90292-6393 | 2017-11-02 |
1346762903 | Grant D. Shifflett, Md Inc | Orthopaedic Surgery | 13160 Mindanao Way Ste 300, Marina Del Rey, CA 90292-6393 | 2017-07-14 |
1720535255 | George T Cyril M.d., Inc | Physical Medicine & Rehabilitation | 13160 Mindanao Way Ste 300, Marina Del Rey, CA 90292-6393 | 2016-09-01 |
1720323264 | Ba Pain Management | Anesthesiology | 13160 Mindanao Way Ste 300, Marina Del Rey, CA 90292-6393 | 2012-12-11 |
1013273002 | Akash Bajaj Md Inc, A California Professional Medical Corporation | Non-Pharmacy Dispensing Site | 13160 Mindanao Way Ste 300, Marina Del Rey, CA 90292-6393 | 2012-04-04 |
1770856809 | Glenn Martin Lipton, Md, Amc | Pain Medicine | 13160 Mindanao Way Ste 300, Marina Del Rey, CA 90292-6393 | 2012-02-21 |
1306073838 | Rojeh Melikian | Orthopaedic Surgery | 13160 Mindanao Way Ste 300, Marina Del Rey, CA 90292 | 2009-06-11 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1972142420 | Katy Kleinberg | Physical Therapist | 4820 Lincoln Blvd., Marina Del Rey, CA 90292 | 2020-01-02 |
1568028330 | Kylie Nakamine | Physical Therapist | 4820 Lincoln Bld, Marina Del Rey, CA 90292 | 2019-05-16 |
1033627807 | Kareema Nasouf | Social Worker | 578 Washington Blvd. #815, Marina Del Rey, CA 90292 | 2018-01-16 |
1861916611 | Jaqueline Berenice Higbee | Behavior Technician | 13428 Maxella Ave Apt 913, Marina Del Rey, CA 90292 | 2017-08-02 |
1063942696 | Luis Albert Japngie | Chiropractor | 13816 Bora Bora Way, A-109, Marina Del Rey, CA 90292 | 2017-06-15 |
1427509082 | Melissa Dowling | Nurse Anesthetist, Certified Registered | 4750 Lincoln Blvd Apt 477, Marina Del Rey, CA 90292 | 2016-10-19 |
1578932950 | Gratto Aquatic Rehab | Clinic/Center | 13160 Mindanao Way Ste. 308, Marina Del Ray, CA 90292 | 2015-09-16 |
1285018309 | Reed Chiropractic & Wellness Center A Professional Corporation | Chiropractor | 4207 Del Rey Ave., Marina Del Rey, CA 90292 | 2015-07-18 |
1083990725 | James J Kim | Pharmacist | 4009 Lincoln Blvd., Walgreens, Marina Del Rey, CA 90292 | 2011-10-26 |
1689957805 | Medbil, LLC | Anesthesiology | 1024 Oxford Ave., Marina Del Rey, CA 90292 | 2011-09-23 |
Find all providers in zip 90292 |
Taxonomy Code | 261QM1300X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Multi-Specialty |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1811376452 | Regents of The University of California | Clinic/Center | 4560 Admiralty Way, 100, Marina Del Rey, CA 90292-5423 | 2015-05-28 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1649878117 | Cameron S Francis Md Inc | Clinic/Center | 1431 Camino Del Mar, Del Mar, CA 92014-2509 | 2020-10-15 |
1982211835 | Crossover Health Medical Group | Clinic/Center | 711 W 2nd St Ste A, San Bernardino, CA 92410-3262 | 2020-09-24 |
1982211843 | Crossover Health Medical Group | Clinic/Center | 5379 Hamner Ave Unit 801, Eastvale, CA 91752-1042 | 2020-09-24 |
1164039020 | Crossover Health Medical Group | Clinic/Center | 14329 Frederick St Ste 7-9, Moreno Valley, CA 92553-9003 | 2020-09-24 |
1104432673 | Aleracare Medical Group of California | Clinic/Center | 17777 Ventura Blvd Ste 220, Encino, CA 91316-3748 | 2020-09-21 |
1205447687 | Shawn Richard Oneill | Clinic/Center | 5979 Trotters Ln, Alta Loma, CA 91701-2644 | 2020-08-11 |
1134738032 | Healthworks Med Group of California A Medical Corporation | Clinic/Center | 2821 Scott Blvd Ste 2126, Santa Clara, CA 95050-2549 | 2020-07-27 |
1437767951 | Miro Health | Clinic/Center | 260 King St Unit 1505, San Francisco, CA 94107-6415 | 2020-07-21 |
1598383895 | Alacrity Patient Services, Inc. | Clinic/Center | 1002 N Hudson Ave Apt 1, Los Angeles, CA 90038-2595 | 2020-07-13 |
1306464979 | Aleracare Medical Group of California | Clinic/Center | 4849 Van Nuys Blvd Ste 220, Sherman Oaks, CA 91403-2155 | 2020-07-10 |
Find all providers with the same taxonomy |
City | MARINA DEL REY |
Zip Code | 90292 |
Please comment or provide details below to improve the information on MARINA ORTHO, INC..
Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.