LARRY MARIANELLA, MD A PROFESSIONAL CORP.
NPI 1104128941
Internal Medicine in Santa Rosa, CA

Active since November 30, 2010
1515 MONTGOMERY DR, SANTA ROSA, CA 95405(707) 526-4865(707) 526-5375 Get Directions Write a Review

NPPES record last updated: November 30, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Larry Marianella, Md A Professional Corp. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LARRY MARIANELLA, MD A PROFESSIONAL CORP. (NPI 1104128941) is a healthcare organization registered as an internal medicine in Santa Rosa, California and active in the NPI registry since November 2010. The organization lists Larry Marianella, President, as its authorized official.

NPPES Registry Identity

NPI1104128941
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameLARRY MARIANELLA, MD A PROFESSIONAL CORP.
Location Address1515 MONTGOMERY DRSanta Rosa, CA 95405-4500
Mailing Address1515 Montgomery DrSanta Rosa, CA 95405-4500 · (707) 526-4865 · Fax (707) 526-5375
Fax(707) 526-5375
Organization SubpartNo
Authorized OfficialLarry MarianellaPresident · (707) 526-4865
Enumeration DateNovember 30, 2010
NPI 1104128941 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in CA · G38835
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
1515 MONTGOMERY DR, Santa Rosa, CA 95405

Other Identifiers 3

Medicaid00G388351CA
Medicare PIN00G388350CA
Medicare UPINA47615CA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine
1515 MONTGOMERY DR
SANTA ROSA, CA 95405
Dentist (General Practice)
1515 MONTGOMERY DR, SUITE D
SANTA ROSA, CA 95405
Dentist (General Practice)
1515 MONTGOMERY DR
SANTA ROSA, CA 95405

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Larry Marianella, MD A Professional Corp.'s NPI number?

The NPI number for Larry Marianella, MD A Professional Corp. is 1104128941. It was assigned to this organization in the NPPES registry on November 30, 2010.

Where is Larry Marianella, MD A Professional Corp. located?

Larry Marianella, MD A Professional Corp. is located at 1515 Montgomery Dr, Santa Rosa, CA 95405. The listed phone number is (707) 526-4865.

What is Larry Marianella, MD A Professional Corp.'s specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

When was this NPI record last updated?

The NPPES record for Larry Marianella, MD A Professional Corp. was last updated on November 30, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.