Marcos H. Chacon Jr., M.S.

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

103651 Issued in CA

Practice address

222 Paul Scannell Dr
San Mateo, CA 94402-4061

Phone

(650) 312-5368

NPI assigned

Jun 26, 2009

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1245974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618185600000",
    "number": "1013145291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 PAUL SCANNELL DR",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944024061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 PAUL SCANNELL DR",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944024061",
            "telephone_number": "650-312-5368"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHACON",
        "first_name": "MARCOS",
        "middle_name": "H.",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "M.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-06-26",
        "last_updated": "2021-04-12",
        "certification_date": "2021-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "103651",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• April Junghee Cha
• Rosalyn Cha, LCSW
• Sang Hee Cha
• Anand Chabra, M.D., M.P.H., FACPM
• Yasmin Chacko, LEP
• Janet Chaikind, MD
• Chalet Home Services Inc.
• Ashley S Chan, DDS
• Chloe Chan
• Nicholas T Chan, OD

• Marriage & Family Therapist in San Mateo, CA
• Providers in San Mateo, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.