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DR. MARIANNE A MCKENNETT MD
NPI 1376639666
Family Medicine in Chula Vista, CA

Active since October 05, 2006PECOS EnrolledAccepts Medicare Assignment
865 3RD AVE, SUITE 133, CHULA VISTA, CA 91911(619) 498-6200(619) 427-0134 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Marianne A Mckennett Md NPPES

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

DR. MARIANNE A MCKENNETT MD (NPI 1376639666) is an individual family medicine provider in Chula Vista, California, licensed in California (G57243) and active in the NPI registry since October 2006. She is enrolled in Medicare PECOS and is a graduate of University Of California, Irvine, California College Of Medicine (1984).

NPPES Registry Identity

NPI1376639666
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDR. MARIANNE A MCKENNETTCredential: MD
Location Address865 3RD AVE, SUITE 133Chula Vista, CA 91911-1300
Mailing Address4004 Beyer BlvdSan Ysidro, CA 92173-2007 · (619) 428-4463 · Fax (619) 428-2625
Phone(619) 498-6200
Fax(619) 427-0134
Sole ProprietorNo
Medical School CMSUniversity Of California, Irvine, California College Of MedicineGraduated 1984
Enumeration DateOctober 5, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1376639666 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in CA · G57243
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
865 3RD AVE, Chula Vista, CA 91911
Open in Google Maps ↗

Other Identifiers 3

OtherFHC70394FCA · Medi-cal
Medicare ID-Type UnspecifiedW5740B
Medicare UPINA93470

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Marianne A Mckennett Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6002987690
PECOS Enrollment IDI20080625000772
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 91911 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
$94.87 typical visit price
range $62.10 – $184.71
Typical copayment $23.71 (range $15.52 – $46.17)
Most-billed visit code 99203
Established Patient
$108.42 typical visit price
range $20.62 – $151.42
Typical copayment $27.10 (range $5.15 – $37.85)
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.

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.

MRS. ROXANE M. SANTIAGO MD
Pediatrics
865 3RD AVE, SUITE 101
CHULA VISTA, CA 91911
San Diego County (619) 426-7910
DR. MIGUEL A CORDOBA MD
Pediatrics
865 3RD AVE, 101
CHULA VISTA, CA 91911
San Diego County (619) 426-7910
DR. AZAR HAMEDANINIA MD
Pediatrics
865 3RD AVE, #101
CHULA VISTA, CA 91911
San Diego County (619) 426-7910
BRIANA MEJIA MD
Student in an Organized Health Care Education/Training Program
865 3RD AVE, SUITE 133
CHULA VISTA, CA 91911
San Diego County (619) 662-4100
DR. SHAILA SERPAS MD
Family Medicine
865 3RD AVE, SUITE # 133
CHULA VISTA, CA 91911
San Diego County (619) 662-4100
MALACHI DE LEON-LOPEZ
Behavior Analyst
865 3RD AVE
CHULA VISTA, CA 91911
San Diego County (619) 383-0704
LESLIE HESSEL RAMOS
Behavior Technician
865 3RD AVE
CHULA VISTA, CA 91911
San Diego County (619) 830-4124
VIVENCIO BUNQUIN ABANTE DDS
Dentist (General Practice)
865 3RD AVE, STE. 120
CHULA VISTA, CA 91911
San Diego County (619) 426-1130

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 Marianne Mckennett's NPI number?

The NPI number for Marianne Mckennett is 1376639666. It was assigned to this individual provider in the NPPES registry on October 5, 2006.

Where is Marianne Mckennett located?

Marianne Mckennett practices at 865 3rd Ave Suite 133, Chula Vista, CA 91911. The listed phone number is (619) 498-6200.

What is Marianne Mckennett's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Marianne Mckennett enrolled in Medicare?

Yes. Marianne Mckennett is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Marianne Mckennett was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.