Marcia Ann Luisi, MD

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

G61709 Issued in CA

Practice address

990 Sonoma Ave
Suite #3
Santa Rosa, CA 95404-4802

Phone

(707) 546-5487

Fax

(707) 546-5488

NPI assigned

Oct 9, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• St. Joseph Health Northern California, LLC

  • General Acute Care Hospital
  • Santa Rosa, CA
  • NPI 1134152549
  NPD (past)
• Sutter Bay Hospitals

  • General Acute Care Hospital
  • Santa Rosa, CA
  • NPI 1740413798
  NPD (past)

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

{
    "created_epoch": "1160352000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1053408021",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "990 SONOMA AVE",
            "address_2": "SUITE #3",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954044802",
            "telephone_number": "707-546-5487",
            "fax_number": "707-546-5488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "990 SONOMA AVE",
            "address_2": "SUITE #3",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954044802",
            "telephone_number": "707-546-5487",
            "fax_number": "707-546-5488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUISI",
        "first_name": "MARCIA",
        "middle_name": "ANN",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "CA",
            "license": "G61709",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G617090",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lucky Stores II LLC
• Heather Ludvigson, LCSW
• Connie Lee Luebkeman
• Jeremy Luena, COTA/L
• Ana Lugo
• Patricia Ann Lujano
• Kevin CHI Hong Luk, PT, DPT
• Alma Kum Lukasko, PHARM.D
• Luke F Landeros, DDS, PC
• Katherine Theresa Lukezic, MPT

• Physical Medicine & Rehabilitation Physician in Santa Rosa, CA
• Providers in Santa Rosa, CA by specialty
• Physical Medicine & Rehabilitation Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.