Individual provider Active NPI

Maria Anita Almaria Marzan, D.D.S.

  • General Practice Dentistry
  • Los Angeles, CA
National Provider Identifier
1013168426
Registry record updated Oct 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
56852 Issued in CA
Practice address
219 S Reno St
Los Angeles, CA 90057-1111
Phone
(213) 739-5751
NPI assigned
Oct 3, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 3, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 56852 CA Primary

Addresses

Primary practice location

219 S Reno St
Los Angeles, CA 90057-1111

Mailing address

219 S Reno St
Los Angeles, CA 90057-1111
Phone (213) 739-5751

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240610000560 CA Order and Referring Only - DentistPractitioner - Dentist 7214479955

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
56852CAMDPharmacist

Interoperability endpoints

  • Direct secure messaging: mmarzan140718@direct.ochin.org

NPI Registry JSON

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

{
    "created_epoch": "1222992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1222992000000",
    "number": "1013168426",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "219 S RENO ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900571111",
            "telephone_number": "213-739-5751"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "219 S RENO ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900571111",
            "telephone_number": "213-739-5751"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARZAN",
        "first_name": "MARIA ANITA",
        "middle_name": "ALMARIA",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-10-03",
        "last_updated": "2008-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "56852",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.