Marvin Carradine, is a
Pathology - Anatomic Pathology physician based in Sun Valley, California. Marvin Carradine is licensed to practice in California (license number D0082031) and his current practice location is 10729 New Haven St, Sun Valley, California. He can be reached at his office (for appointments etc.) via phone at
(320) 220-4428.
NPI number for Marvin Carradine is 1538022637 and his current mailing address is 10729 New Haven St, Sun Valley, California. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1538022637.
Physician's Profile
| Full Name | Marvin Carradine |
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| Gender | Male |
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| Speciality | Pathology - Anatomic Pathology |
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| Location | 10729 New Haven St, Sun Valley, California |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1538022637
- Provider Enumeration Date: 12/05/2025
- Last Update Date: 12/05/2025
Medical Identifiers
Medical identifiers for Marvin Carradine such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1538022637 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 207ZP0101X | Pathology - Anatomic Pathology | D0082031 (California) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Marvin Carradine is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Marvin Carradine, 10729 New Haven St, Sun Valley, CA 91352-3406 Ph: () - | Marvin Carradine, 10729 New Haven St, Sun Valley, CA 91352-3406 Ph: (320) 220-4428 |
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