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MARWAN EDRIS MD A PROFESSIONAL CORPORATION
NPI 1205869427
Internal Medicine in Laguna Hills, CA

Active since July 09, 2006
25283 CABOT RD STE 106, SUITE 106, LAGUNA HILLS, CA 92653(949) 364-9080(949) 364-3856 Get Directions Write a Review

NPPES record last updated: May 1, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: May 1, 2024, Apr 10, 2024, Jan 16, 2018 (3 updates tracked since 2018).

About Marwan Edris Md A Professional Corporation NPPES

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

MARWAN EDRIS MD A PROFESSIONAL CORPORATION (NPI 1205869427) is a healthcare organization registered as an internal medicine in Laguna Hills, California and active in the NPI registry since July 2006. The organization lists Marwan Edris, Owner/physician, as its authorized official.

NPPES Registry Identity

NPI1205869427
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameMARWAN EDRIS MD A PROFESSIONAL CORPORATION
Location Address25283 CABOT RD STE 106, SUITE 106Laguna Hills, CA 92653-5509
Mailing Address25283 Cabot Rd Ste 106, Suite 106Laguna Hills, CA 92653-5509 · (949) 364-9080 · Fax (949) 364-3856
Phone(949) 364-9080
Fax(949) 364-3856
Organization SubpartNo
Authorized OfficialMarwan EdrisOwner/physician · (949) 364-9080
Enumeration DateJuly 9, 2006
Last NPPES UpdateMay 1, 20243 updates tracked since enumeration
NPPES CertifiedMay 1, 2024
✔ NPI 1205869427 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
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.
25283 CABOT RD STE 106, Laguna Hills, CA 92653
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Other Identifiers 2

OtherW16626CA · Medicare Id Number
OtherA42896CA · License

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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Marwan Edris Md A Professional Corporation is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Marwan Edris MD A Professional Corporation, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Marwan Edris, M.D.
Internal Medicine
NPI 1013045970
25283 CABOT ROAD SUITE 106
Laguna Hills, CA 92653
(949) 364-9080
✔ PECOS✔ Accepts MedicareSame address
Sami Edris, MD
Internal Medicine
NPI 1285194530
10441 LAKEWOOD BLVD STE AB
Downey, CA 90241
(562) 869-1070
✔ PECOS✔ Accepts Medicare35 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Marwan Edris MD A Professional Corporation's NPI number?

The NPI number for Marwan Edris MD A Professional Corporation is 1205869427. It was assigned to this organization in the NPPES registry on July 9, 2006.

Where is Marwan Edris MD A Professional Corporation located?

Marwan Edris MD A Professional Corporation is located at 25283 Cabot Rd Ste 106 Suite 106, Laguna Hills, CA 92653. The listed phone number is (949) 364-9080.

What is Marwan Edris MD A Professional Corporation's specialty?

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

Is Marwan Edris MD A Professional Corporation enrolled in Medicare?

Yes. Marwan Edris MD A Professional Corporation is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Marwan Edris MD A Professional Corporation?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Internal Medicine, reassign their Medicare billing to Marwan Edris MD A Professional Corporation. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Marwan Edris MD A Professional Corporation was last updated on May 1, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.