Active NPI
Samuel N Marcus MD Inc.
- Gastroenterology Physician
- Mountain View, CA
National Provider Identifier
1053790691
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- A50154
- Legal business name
- SAMUEL N MARCUS MD INC.
- Practice address
- 2490 Hospital Dr
Suite 211
Mountain View, CA 94040-4122 - Phone
- (650) 988-7488
- Fax
- (650) 988-7486
- NPI assigned
- May 28, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Sameul N Marcus, MD
- Title
- President
- Phone
- (650) 988-7488
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | A50154 | CA | Primary |
Addresses
Primary practice location
2490 Hospital Dr
Suite 211
Mountain View, CA 94040-4122
Mailing address
2490 Hospital Dr
Suite 211
Mountain View, CA 94040-4122
Phone (650) 988-7488
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Gastroenterology Physician
- Stanford, CA
- NPI 1396717740
-
- Medical Physician Assistant
- Mountain View, CA
- NPI 1659093987
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1432771200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1721260800000",
"number": "1053790691",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2490 HOSPITAL DR",
"address_2": "SUITE 211",
"city": "MOUNTAIN VIEW",
"state": "CA",
"postal_code": "940404122",
"telephone_number": "650-988-7488",
"fax_number": "650-988-7486"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2490 HOSPITAL DR",
"address_2": "SUITE 211",
"city": "MOUNTAIN VIEW",
"state": "CA",
"postal_code": "940404122",
"telephone_number": "650-988-7488",
"fax_number": "650-988-7486"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SAMUEL N MARCUS MD INC.",
"organizational_subpart": "NO",
"enumeration_date": "2015-05-28",
"last_updated": "2024-07-18",
"certification_date": "2024-07-18",
"status": "A",
"authorized_official_last_name": "MARCUS",
"authorized_official_first_name": "SAMEUL",
"authorized_official_middle_name": "N",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "650-988-7488",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Gastroenterology",
"state": "CA",
"license": "A50154",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mountain View, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.