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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: November 08, 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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Michelle A Marine Md Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Michelle A Marine MD Inc, which bills Medicare for the services this clinician delivers.

Clinician (1)

Michelle Marine, M.D.
Obstetrics/Gynecology
NPI 1114976149
2901 N VENTURA RD STE 110
Oxnard, CA 93036
(805) 981-6163
✔ PECOS✔ Accepts Medicare18 mi

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

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.

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.

Is Michelle A Marine MD Inc enrolled in Medicare?

Yes. Michelle A Marine MD Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Michelle A Marine MD Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Obstetrics/Gynecology) reassigns their Medicare billing to Michelle A Marine MD Inc. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 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.