Marcus Terrell Logan

Primary specialty

CounselorTaxonomy code 101Y00000X

Practice address

5248 Crane Ave
Castro Valley, CA 94546-2532

Phone

(510) 538-3060

Fax

(510) 537-7116

NPI assigned

Jul 29, 2008

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

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

{
    "created_epoch": "1217289600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1217289600000",
    "number": "1053577148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2275 ARLINGTON DR",
            "city": "SAN LEANDRO",
            "state": "CA",
            "postal_code": "945781132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5248 CRANE AVE",
            "city": "CASTRO VALLEY",
            "state": "CA",
            "postal_code": "945462532",
            "telephone_number": "510-538-3060",
            "fax_number": "510-537-7116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOGAN",
        "first_name": "MARCUS",
        "middle_name": "TERRELL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-07-29",
        "last_updated": "2008-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jimmy DJ Liu, MD
• John Sic-Yiu Liu
• Steve Liu, PHARM.D.
• Connor Locke, PT, DPT
• Michael J. Lodwig, DC
• Phillip Loghry II
• Fedor Logvin, MD
• Garima Loharuka, D.O.
• Cathy T London, LMFT
• Angiel Longares Maldonado

• Counselor in Castro Valley, CA
• Providers in Castro Valley, CA by specialty
• Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2008; 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.