DIANNE MARIN
NPI 1255221487
Nurse Practitioner - Family in Manhattan Beach, CA

Active since July 08, 2025PECOS Enrolled
4021 OCEAN DR, MANHATTAN BEACH, CA 90266(949) 244-8999 Get Directions Write a Review

NPPES record last updated: September 2, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Sep 2, 2025, Jul 8, 2025 (2 updates tracked since 2025).

About Dianne Marin NPPES

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

DIANNE MARIN (NPI 1255221487) is an individual family provider in Manhattan Beach, California, licensed in California (F07250067) and active in the NPI registry since July 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1255221487
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameDIANNE MARIN
Location Address4021 OCEAN DRManhattan Beach, CA 90266-3162
Mailing Address4455 W 117th St Ste 300Hawthorne, CA 90250-2240 · (310) 987-0599
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateJuly 8, 2025
Last NPPES UpdateSeptember 2, 20252 updates tracked since enumeration
NPPES CertifiedSeptember 2, 2025
NPI 1255221487 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in CA · F07250067
4021 OCEAN DR, Manhattan Beach, CA 90266

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dianne Marin is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID749783603
PECOS Enrollment IDI20250915002891
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90266 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Dianne Marin's NPI number?

The NPI number for Dianne Marin is 1255221487. It was assigned to this individual provider in the NPPES registry on July 8, 2025.

Where is Dianne Marin located?

Dianne Marin practices at 4021 Ocean Dr, Manhattan Beach, CA 90266. The listed phone number is (949) 244-8999.

What is Dianne Marin's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Dianne Marin enrolled in Medicare?

Yes. Dianne Marin is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Dianne Marin was last updated on September 2, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.