Active NPI
Samuel Marroquin
- Counselor
- Tarzana, CA
National Provider Identifier
1073905261
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- Practice address
- 18700 Oxnard St
Suite 124
Tarzana, CA 91356-1413 - Phone
- (818) 342-5897
- NPI assigned
- Feb 24, 2015
- Last updated
- Feb 24, 2015
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | NU | Primary |
Addresses
Primary practice location
18700 Oxnard St
Suite 124
Tarzana, CA 91356-1413
Mailing address
18700 Oxnard St
Suite 124
Tarzana, CA 91356-1413
Phone (818) 342-5897
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1424736000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1424736000000",
"number": "1073905261",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18700 OXNARD ST",
"address_2": "SUITE 124",
"city": "TARZANA",
"state": "CA",
"postal_code": "913561413",
"telephone_number": "818-342-5897"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18700 OXNARD ST",
"address_2": "SUITE 124",
"city": "TARZANA",
"state": "CA",
"postal_code": "913561413",
"telephone_number": "818-342-5897"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARROQUIN",
"first_name": "SAMUEL",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-02-24",
"last_updated": "2015-02-24",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tarzana, CA
- Mark Fisher DDS Professional Dental Corporation
- Mark John Souris
- Lisa Markinson, M.F.T.
- Michele Ann Marks, NURSE PRACTITIONER
- Richard Allen Marquez
- Marshall R. Lapin D.D.S. Inc.
- Pamela Marshall, CDC
- Marsham Medical (Rightway Home Health)
- Martine Antoinette Marte, PSY.D.
- Martin Lasky DDS Michael Lasky DDS Jill Cohen Lasky DDS Dental Partner
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.