Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mallory Marino, NP

Individual provider Acute Care Nurse Practitioner · NPI 1043989932

Mallory Marino, NP is a Nurse Practitioner in Newport Beach, California. Qualified in 2021, 5 years ago. Licensed in California.

Years since qualifying
5
Licensed in
CA
In the registry since
2021
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

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Practice location Address checks out

1 Hoag Dr
Newport Beach, CA 92663-4162
Phone: (949) 421-7019
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Acute Care Nurse Practitioner (primary) Taxonomy 363LA2100X · Licence 95018358 (CA)

Record details

NPI number1043989932
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorNo
NPI enumeratedSeptember 13, 2021
Last updated in NPPESJuly 26, 2023
Certification dateJuly 26, 2023
Mailing address1 Hoag Dr, Newport Beach, CA 92663-4162

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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