Active NPI
Candace Marshall
- Registered Nurse
- San Francisco, CA
National Provider Identifier
1043987878
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 95065277
- Practice address
- 333 1St St
San Francisco, CA 94105-2687 - Phone
- (209) 408-9908
- NPI assigned
- Aug 28, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 95065277 | CA | Primary |
Addresses
Primary practice location
333 1St St
San Francisco, CA 94105-2687
Mailing address
PO Box 1737
Modesto, CA 95353-1737
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | HELIX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 95065277 | CA | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1630108800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1630108800000",
"number": "1043987878",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1737",
"city": "MODESTO",
"state": "CA",
"postal_code": "953531737"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "333 1ST ST",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941052687",
"telephone_number": "209-408-9908"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARSHALL",
"first_name": "CANDACE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-08-28",
"last_updated": "2021-08-28",
"certification_date": "2021-08-28",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "CA",
"license": "95065277",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "HELIX",
"affiliation": "N",
"endpointDescription": "HIPAA COMPLIANT PLATFORM",
"address_1": "333 1st St",
"city": "San Francisco",
"state": "CA",
"country_code": "US",
"postal_code": "941052687",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in San Francisco, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 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.