DR. DERRICK V MARINELLI


Address: 1950 Sunnycrest Dr, #3400, Fullerton, CA 92835-3638
Phone: 7148792410

DR. DERRICK V MARINELLI (NPI# 1689897761) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1689897761
Entity Type Individual
Full Name DR. DERRICK V MARINELLI
Credential M.D.
Practice Address 1950 Sunnycrest Dr
#3400
Fullerton
CA 92835-3638
Practice Telephone 7148792410
Practice Fax Number 7148795340
Mailing Telephone 7148792410
Mailing Fax Number 7148795340
Enumeration Date 2007-04-10
Last Update Date 2009-09-29
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 208800000X Urology G59971 CA Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
CA MEDI CAL GROUP GR0011581 01
CLIA 05D0977537 01
CA CLIA 05D0552498 01
CA CLIA 05D0684380 01
CA BLUE SHIELD YYY49655Y 01
CA GROUP NPI 1851498133 01
CA PHYS LICENSE G59971 01
CA MEDI CAL RENDERING G59971 01

Office Location

Street Address 1950 SUNNYCREST DR
#3400
City FULLERTON
State CA
Zip Code 92835-3638

Providers in the same location

NPI Name Taxonomy Address Enumeration
1518961911 Robert Emmitt Mccoy Surgery 1950 Sunnycrest Dr, Ste 2600, Fullerton, CA 92835-3638 2005-06-13
1902204092 Js Alternative Health Corporation Chiropractor 1950 Sunnycrest Dr, Suite 2000, Fullerton, CA 92835-3638 2014-12-05
1568868701 Jaseng Alternative Health Corporation Acupuncturist 1950 Sunnycrest Dr, Suite 2000, Fullerton, CA 92835 2014-11-17
1154755163 Hazelton Dialysis LLC Clinic/Center 1950 Sunnycrest Dr, Ste 1300, Fullerton, CA 92835-3638 2013-08-27
1174881536 Scott Au, Md, Inc Physical Medicine & Rehabilitation 1950 Sunnycrest Dr, Suite 2000, Fullerton, CA 92835-3638 2012-04-24
1659646602 Huntington Reproductive Center Medical Group, A Medical Corporation Clinical Medical Laboratory 1950 Sunnycrest Dr, Suite 2400, Fullerton, CA 92835-3638 2012-03-08
1790936060 James Park Dds, Inc. Dentist 1950 Sunnycrest Dr, Suite 3300, Fullerton, CA 92835-3638 2008-10-06
1215118641 Deirdre T Moxley Physician Assistant 1950 Sunnycrest Dr, Suite 2300, Fullerton, CA 92835-3638 2007-11-14
1508089707 Stuart L Feldman Urology 1950 Sunnycrest Dr, #3400, Fullerton, CA 92835-3638 2007-04-10
1780721852 James Keonuk Park Dentist 1950 Sunnycrest Dr, Suite 3300, Fullerton, CA 92835-3638 2007-01-30
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1538774302 Natalie Baugh Nutritionist 333 W Bastanchury Rd 110, Fullerton, CA 92835 2020-09-09
1073127098 Cecile Mae Sam Physical Therapist 2932 Clover Ct, Fullerton, CA 92835 2020-09-08
1861966087 Kimson F Johnston Marriage & Family Therapist 1370 Brea Blvd Suite 210, Fullerton, CA 92835 2019-01-22
1134636327 Michelle Harriman, Psychologist - A Professional Corporation Psychologist 1440 N Harbor Blvd Ste 808, Fullerton, CA 92835 2018-01-09
1659818631 Jacqueline Rene Miller Specialist/Technologist 2610 Associated Rd, Apt A4, Fullerton, CA 92835 2017-01-27
1912361106 John Nathaniel Alvarez Psychiatry & Neurology 401 E Imperial Highway, Fullerton, CA 92835 2016-04-13
1083075030 Advance Recovery Solution, LLC Substance Abuse Rehabilitation Facility 3744 N Hermosa Pl, Fullerton, CA 92835 2016-03-17
1467817981 Michele Ledesma Physical Therapy Assistant 2800 N. Harbor Blvd., Fullerton, CA 92835 2015-12-29
1467820571 Jonghan Kang Acupuncturist 1321 N Harbor Blvd Ste 205, Fullerton, CA 92835 2015-09-04
1265840987 Allison Leigh Kennedy Physician Assistant 100 Laguna Rd Ste 208, Fullerton, CA 92835 2014-07-25
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Taxonomy Information

Taxonomy Code 208800000X
Grouping Allopathic & Osteopathic Physicians
Classification Urology

Taxonomy Definition

A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1396084422 William Franklin Hohn Urology 423 Pebble Beach Pl, Fullerton, CA 92835-2702 2013-02-08
1104161751 Ardath Wightman Jr. Urology 700 Harmony Ln, Fullerton, CA 92831-1801 2012-12-09
1851498133 Marinelli & Feldman Mds Urology 1915 Sunny Crest Dr, Fullerton, CA 92835-3626 2006-09-20
1134223126 Gordon C Gunn Md Inc Urology 150 Laguna Rd, Fullerton, CA 92835-3614 2006-09-11
1396858163 Michael Scott Gazzaniga Urology 301 W Bastanchury Rd #180, Fullerton, CA 92835 2006-08-16
1720042336 Manmohan Gursahani Urology 1024 Ferndale Ave, Fullerton, CA 92831 2006-04-12
1851398382 Alan C Weinberg Urology 301 W Bastanchury Rd, #180, Fullerton, CA 92835-3427 2005-06-30
1285921882 Scott Matthew Hughes Urology 1915 Sunny Crest Dr, Fullerton, CA 92835 2011-07-01
1437451820 Eric Brendan Tygenhof Urology 301 W Bastanchury Rd, Suite 180, Fullerton, CA 92835-3419 2010-11-17
1508089707 Stuart L Feldman Urology 1950 Sunnycrest Dr, #3400, Fullerton, CA 92835-3638 2007-04-10
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Competitor

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City FULLERTON
Zip Code 92835

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Dataset Information

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.

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