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MICHELLE A MARINE MD INC
NPI 1619203957
Obstetrics & Gynecology in Thousand Oaks, CA

Active since October 21, 2009CLIA 05D2020775 · Microscopy
77 ROLLING OAKS DR, SUITE 306, THOUSAND OAKS, CA 91361(805) 371-8775(805) 379-3711 Get Directions Write a Review

NPPES record last updated: November 18, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Michelle A Marine Md Inc NPPES

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

MICHELLE A MARINE MD INC (NPI 1619203957) is a healthcare organization registered as an obstetrics & gynecology in Thousand Oaks, California and active in the NPI registry since October 2009. The organization holds a CLIA Microscopy certificate valid through February 27, 2027 and lists Michelle A Marine, Physician/auth Official, as its authorized official.

NPPES Registry Identity

NPI1619203957
Entity TypeOrganization
Primary Taxonomy207V00000X
Legal Business NameMICHELLE A MARINE MD INC
Location Address77 ROLLING OAKS DR, SUITE 306Thousand Oaks, CA 91361-1011
Mailing Address77 Rolling Oaks Dr Ste 306Thousand Oaks, CA 91361-1013 · (805) 371-8775 · Fax (805) 379-3711
Phone(805) 371-8775
Fax(805) 379-3711
Organization SubpartNo
Authorized OfficialMichelle A MarinePhysician/auth Official · (805) 371-8775
Enumeration DateOctober 21, 2009
Last NPPES UpdateNovember 18, 2025
NPPES CertifiedNovember 18, 2025
✔ NPI 1619203957 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
77 ROLLING OAKS DR, Thousand Oaks, CA 91361
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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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 05D2020775

Michelle A Marine, MD Inc · Thousand Oaks, CA
Active · expires Feb 27, 2027
CLIA Number05D2020775
Laboratory TypePhysician Office
Certificate Effective DateFebruary 28, 2025
Certificate Expiration DateFebruary 27, 2027
Laboratory DirectorMichelle A. Marine
Laboratory Phone(805) 371-8775
Laboratory LocationMichelle A Marine, MD Inc77 Rolling Oaks Dr Ste 306, Thousand Oaks, CA 91361
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES 5

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

STEVEN H SUCHMAN MD INC
Family Medicine
77 ROLLING OAKS DR, SUITE 305
THOUSAND OAKS, CA 91361
Los Angeles County (805) 379-9976
AIMEE KVANDAL FNP
Registered Nurse
77 ROLLING OAKS DR
THOUSAND OAKS, CA 91361
Los Angeles County (805) 719-3700
CELSO LEITE ROSS-ARAUJO DDS
Dentist
77 ROLLING OAKS DR, SUITE 104
THOUSAND OAKS, CA 91361
Los Angeles County (805) 496-0660
STEVEN SUCHMAN M.D.
Family Medicine
77 ROLLING OAKS DR, SUITE #305
THOUSAND OAKS, CA 91361
Los Angeles County (805) 379-9975
THOMAS R. ANDERSON INC
Emergency Medicine (Emergency Medical Services)
77 ROLLING OAKS DR
THOUSAND OAKS, CA 91361
Los Angeles County (425) 753-9227

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 Michelle A Marine MD Inc's NPI number?

The NPI number for Michelle A Marine MD Inc is 1619203957. It was assigned to this organization in the NPPES registry on October 21, 2009.

Where is Michelle A Marine MD Inc located?

Michelle A Marine MD Inc is located at 77 Rolling Oaks Dr Suite 306, Thousand Oaks, CA 91361. The listed phone number is (805) 371-8775.

What is Michelle A Marine MD Inc's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Does Michelle A Marine MD Inc hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 05D2020775) is associated with this NPI, valid through February 27, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Michelle A Marine MD Inc was last updated on November 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.