MARC LEONARD ETKIN M.D.
NPI 1194896852
Pediatrics - Pediatric Emergency Medicine in San Diego, CA
About Marc Leonard Etkin M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MARC LEONARD ETKIN M.D. (NPI 1194896852) is an individual pediatric emergency medicine provider in San Diego, California, licensed in California (A75092) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses 2
Other Identifiers 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Marc Leonard Etkin M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SAN DIEGO, CA 92123
SAN DIEGO, CA 92123
SAN DIEGO, CA 92123
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 Marc Etkin's NPI number?
The NPI number for Marc Etkin is 1194896852. It was assigned to this individual provider in the NPPES registry on November 13, 2006.
Where is Marc Etkin located?
Marc Etkin practices at 3020 Childrens Way, San Diego, CA 92123. The listed phone number is (858) 966-8036.
What is Marc Etkin's specialty?
The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Emergency Medicine, with taxonomy code 2080P0204X.
Is Marc Etkin enrolled in Medicare?
Yes. Marc Etkin is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Marc Etkin was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.
# Marc Leonard Etkin, M.D. · NPI 1194896852
Pediatric Emergency Medicine physician in San Diego, California. Individual provider, active in the CMS NPPES registry since November 13, 2006.
## Identity
- **NPI:** 1194896852 (Entity type: Individual)
- **Enumerated:** November 13, 2006
- **Primary specialty:** Pediatrics - Pediatric Emergency Medicine · taxonomy 2080P0204X
- **State license:** A75092 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 3020 CHILDRENS WAY, San Diego, CA 92123-4223
- **Phone:** (858) 966-8036
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** September 11, 2025
- **Other identifiers:** Medicaid 00A750920 (CA)
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Source: [NPI Profile](https://npiprofile.com/npi/1194896852) · Data from the CMS NPPES public registry.