| Dr Derrick V Marinelli, MD | |
|
1950 Sunnycrest Dr, #3400, Fullerton, CA 92835-3638 | |
| (714) 879-2410 | |
| (714) 879-5340 |
| Full Name | Dr Derrick V Marinelli |
|---|---|
| Gender | Male |
| Speciality | Urology |
| Location | 1950 Sunnycrest Dr, Fullerton, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689897761 | NPI | - | NPPES |
| GR0011581 | Other | CA | MEDI CAL GROUP |
| 1851498133 | Other | CA | GROUP NPI |
| 05D0552498 | Other | CA | CLIA |
| YYY49655Y | Other | CA | BLUE SHIELD |
| 05D0684380 | Other | CA | CLIA |
| 05D0977537 | Other | CLIA | |
| G59971 | Other | CA | PHYS LICENSE |
| G59971 | Other | CA | MEDI CAL RENDERING |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208800000X | Urology | G59971 (California) | Primary |
| Entity Name | Marinelli & Feldman Mds |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1851498133 PECOS PAC ID: 6709875370 Enrollment ID: O20040510000108 |
| Entity Name | Infusion4health |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1508262213 PECOS PAC ID: 9032433206 Enrollment ID: O20150116000328 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Derrick V Marinelli, MD 1950 Sunnycrest Dr, #3400, Fullerton, CA 92835-3638 Ph: (714) 879-2410 | Dr Derrick V Marinelli, MD 1950 Sunnycrest Dr, #3400, Fullerton, CA 92835-3638 Ph: (714) 879-2410 |
Dr. Charles Coonan Streit, MD Urology Medicare: Not Enrolled in Medicare Practice Location: 301 W Bastanchury Rd, # 180, Fullerton, CA 92835 Phone: 714-870-5970 Fax: 714-870-4792 | |
Dr. Harjivan Singh Kohli, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 301 W Bastanchury Rd Ste 180, Fullerton, CA 92835 Phone: 714-870-5970 | |
Dr. Scott Matthew Hughes, D.O. Urology Medicare: Accepting Medicare Assignments Practice Location: 1915 Sunny Crest Dr, Fullerton, CA 92835 Phone: 714-879-2410 | |
Michael Maidaa, Urology Medicare: Accepting Medicare Assignments Practice Location: 1915 Sunny Crest Dr, Fullerton, CA 92835 Phone: 714-879-2410 Fax: 714-879-5340 | |
Dr. William Franklin Hohn, M.D. Urology Medicare: Not Enrolled in Medicare Practice Location: 423 Pebble Beach Pl, Fullerton, CA 92835 Phone: 714-992-5393 | |
Michael Scott Gazzaniga, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 301 W Bastanchury Rd #180, Fullerton, CA 92835 Phone: 714-870-5970 Fax: 714-870-4792 | |
Dr. Eric Brendan Tygenhof, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 1400 N Harbor Blvd Ste 300, Fullerton, CA 92835 Phone: 714-870-5970 |