Individual provider Active NPI

Christiano Marquez

  • Physician Assistant
  • Castle Rock, CO
National Provider Identifier
1063123313
Registry record updated Jun 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA.9800 Issued in CO
Practice address
2360 Meadows Blvd Ste 200
Castle Rock, CO 80109-8405
Phone
(720) 455-3775
Fax
(720) 455-3776
NPI assigned
Dec 7, 2022
Last updated
Jun 1, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA.9800 CO Primary
Other Specialist/Technologist 246Z00000X NU

Addresses

Primary practice location

2360 Meadows Blvd Ste 200
Castle Rock, CO 80109-8405

Mailing address

2360 Meadows Blvd Ste 200
Castle Rock, CO 80109-8405
Phone (720) 455-3775

Other practice location 1

45211 Helm St Ste 110
Plymouth, MI 48170-6023
Phone (734) 525-9712

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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

Enrollment IDStateProvider typePAC IDDetails
I20260610004384 CO Practitioner - Physician Assistant 8123590171

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2025
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

900 Hope Way
Altamonte Springs, FL 32714-1502

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PA.9800COMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Portercare Adventist Health System PastSince Nov 17, 2024 Accepting new patients

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1670371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780272000000",
    "number": "1063123313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2360 MEADOWS BLVD STE 200",
            "city": "CASTLE ROCK",
            "state": "CO",
            "postal_code": "801098405",
            "telephone_number": "720-455-3775",
            "fax_number": "720-455-3776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2360 MEADOWS BLVD STE 200",
            "city": "CASTLE ROCK",
            "state": "CO",
            "postal_code": "801098405",
            "telephone_number": "720-455-3775",
            "fax_number": "720-455-3776"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "45211 Helm St Ste 110",
            "address_purpose": "LOCATION",
            "city": "Plymouth",
            "state": "MI",
            "postal_code": "481706023",
            "country_code": "US",
            "telephone_number": "734-525-9712",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARQUEZ",
        "first_name": "CHRISTIANO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-12-07",
        "last_updated": "2026-06-01",
        "certification_date": "2026-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CO",
            "license": "PA.9800",
            "primary": true
        },
        {
            "code": "246Z00000X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Castle Rock, CO

Sources for this page

Verify at the official NPI Registry.