Individual provider Active NPI

Melchor Nacional Marcha

  • Driver
  • Oceanside, CA
National Provider Identifier
1093281776
Registry record updated Oct 19, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
DriverTaxonomy code 172A00000X
License
Y2987826 Issued in CA
Practice address
3998 Vista Way Ste E
Oceanside, CA 92056-4514
Phone
(760) 295-9830
Fax
(760) 295-9866
NPI assigned
Oct 19, 2018
Last updated
Oct 19, 2018By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 19, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Driver 172A00000X Y2987826 CA Primary

Addresses

Primary practice location

3998 Vista Way Ste E
Oceanside, CA 92056-4514

Mailing address

3998 Vista Way Ste E
Oceanside, CA 92056-4514
Phone (760) 295-9830

Other practice location 1

14259 Mariana Dr
Poway, CA 92064-2834
Phone (619) 765-9449

Other identifiers 1

IdentifierTypeStateIssuer
Y2987826OtherCADRIVER LICENSE

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

State licenses

LicenseStateTypeSpecialty
Y2987826CAMDDriver

NPI Registry JSON

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

{
    "created_epoch": "1539907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1539907200000",
    "number": "1093281776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3998 VISTA WAY STE E",
            "city": "OCEANSIDE",
            "state": "CA",
            "postal_code": "920564514",
            "telephone_number": "760-295-9830",
            "fax_number": "760-295-9866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3998 VISTA WAY STE E",
            "city": "OCEANSIDE",
            "state": "CA",
            "postal_code": "920564514",
            "telephone_number": "760-295-9830",
            "fax_number": "760-295-9866"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14259 Mariana Dr",
            "address_purpose": "LOCATION",
            "city": "Poway",
            "state": "CA",
            "postal_code": "920642834",
            "country_code": "US",
            "telephone_number": "619-765-9449",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARCHA",
        "first_name": "MELCHOR",
        "middle_name": "NACIONAL",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-10-19",
        "last_updated": "2018-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172A00000X",
            "taxonomy_group": "",
            "desc": "Driver",
            "state": "CA",
            "license": "Y2987826",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DRIVER LICENSE",
            "identifier": "Y2987826",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oceanside, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2018; 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.