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DR. MARINA UDOWENKO D. O.
NPI 1831328616
Family Medicine in San Diego, CA

Active since July 14, 2009PECOS EnrolledAccepts Medicare Assignment
4510 EXECUTIVE DR STE 215, SAN DIEGO, CA 92121(800) 926-8273(888) 539-8781 Get Directions Write a Review

NPPES record last updated: November 24, 2025. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Nov 24, 2025, Dec 10, 2021, Jun 15, 2021 and 1 more (4 updates tracked since 2017).

About Dr. Marina Udowenko D. O. NPPES

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

DR. MARINA UDOWENKO D. O. (NPI 1831328616) is an individual family medicine provider in San Diego, California, licensed in California (20A14136) and active in the NPI registry since July 2009. She is enrolled in Medicare PECOS, maintains 6 additional practice locations, and is a graduate of Nova Southeastern College Of Osteo Medicine (2009).

NPPES Registry Identity

NPI1831328616
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDR. MARINA UDOWENKOCredential: D. O.
Location Address4510 EXECUTIVE DR STE 215San Diego, CA 92121-3023
Mailing AddressFile 57326Los Angeles, CA 90074-7326
Phone(800) 926-8273
Fax(888) 539-8781
Sole ProprietorNo
Medical School CMSNova Southeastern College Of Osteo MedicineGraduated 2009
Enumeration DateJuly 14, 2009
Last NPPES UpdateNovember 24, 20254 updates tracked since enumeration
NPPES CertifiedNovember 24, 2025
✔ NPI 1831328616 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 · 20A14136
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.
4510 EXECUTIVE DR STE 215, San Diego, CA 92121
Open in Google Maps ↗

Secondary Practice Locations 6

Location 1203 W F StSan Diego, CA 92101-6016 · Phone (800) 926-8273 · Fax (888) 539-8781
Location 26030 Village Way Ste 200San Diego, CA 92130-2973 · Phone (800) 926-8273 · Fax (888) 539-8781
Location 316950 Via TazonSan Diego, CA 92127-1607 · Phone (800) 926-8273 · Fax (888) 539-8781
Location 42295 Otay Lakes Rd Ste 110Chula Vista, CA 91915-1160 · Phone (800) 926-8273 · Fax (888) 539-8781
Location 51505 Encinitas BlvdEncinitas, CA 92024-2933 · Phone (800) 926-8273 · Fax (888) 539-8781
Location 6910 Sycamore Ave Ste 270Vista, CA 92081-7852 · Phone (800) 926-8273 · Fax (888) 539-8781

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. Marina Udowenko D. O. 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 ID1254559123
PECOS Enrollment IDI20150806011482
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 92121 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 4

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

TAYLOR BUCHANAN JACKSON FNP
Nurse Practitioner
4510 EXECUTIVE DR STE 215
SAN DIEGO, CA 92121
San Diego County (858) 657-6624
DR. ANNA KATHRYN VAN NIEKERK DO
Family Medicine
4510 EXECUTIVE DR STE 215
SAN DIEGO, CA 92121
San Diego County (800) 926-8273
DR. JANG HWAN BAE D.O.
Family Medicine
4510 EXECUTIVE DR STE 215
SAN DIEGO, CA 92121
San Diego County (800) 926-8273
MORGAN SHANNON KEEFE DO, MPH
Preventive Medicine (Preventive Medicine/Occupational Environmental Medicine)
4510 EXECUTIVE DR STE 215
SAN DIEGO, CA 92121
San Diego County (800) 926-8273

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 Marina Udowenko's NPI number?

The NPI number for Marina Udowenko is 1831328616. It was assigned to this individual provider in the NPPES registry on July 14, 2009.

Where is Marina Udowenko located?

Marina Udowenko practices at 4510 Executive Dr Ste 215, San Diego, CA 92121. The listed phone number is (800) 926-8273.

What is Marina Udowenko's specialty?

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

Is Marina Udowenko enrolled in Medicare?

Yes. Marina Udowenko 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 Marina Udowenko was last updated on November 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.