Marc Joseph Verlasky, N.P.

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

NP674044 Issued in CA

Practice address

3075 Health Center Dr
San Diego, CA 92123-2773

Phone

(858) 939-3831

Fax

(858) 636-2901

NPI assigned

Sep 24, 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

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1253750400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1549584000000",
    "number": "1053645903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3075 HEALTH CENTER DR STE 101",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921232773",
            "telephone_number": "858-939-3831",
            "fax_number": "858-636-2901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3075 HEALTH CENTER DR",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921232773",
            "telephone_number": "858-939-3831",
            "fax_number": "858-636-2901"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3131 Berger Ave",
            "address_2": "STE 200",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921234203",
            "country_code": "US",
            "telephone_number": "858-244-6800",
            "fax_number": "858-244-6809",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VERLASKY",
        "first_name": "MARC",
        "middle_name": "JOSEPH",
        "credential": "N.P.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-09-24",
        "last_updated": "2019-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "NP674044",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shyann Verissimo
• Violet Amanda Verjan, NONE
• John L. Verkleeren, MD
• Zachary Adam Verlander
• Ashley Grumm Verlasky, LCSW
• Avani Verma, DO
• Vinita Verma, DDS
• Vishal Verma, MD
• Johan H Vermaas, BA
• Rachel Lee Vermeulen, ND

• Nurse Practitioner in San Diego, CA
• Providers in San Diego, CA by specialty
• Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2019; 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.