Marcus Dennis Felton Sr.

Primary specialty

Attendant Care ProviderTaxonomy code 3747A0650X

Practice address

2929 Calariva Dr
Stockton, CA 95204-1408

Phone

(209) 851-1261

NPI assigned

Aug 3, 2022

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1659484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659484800000",
    "number": "1093442600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2929 CALARIVA DR",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952041408",
            "telephone_number": "209-851-1261"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2929 CALARIVA DR",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952041408",
            "telephone_number": "209-851-1261"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FELTON",
        "first_name": "MARCUS",
        "middle_name": "DENNIS",
        "name_suffix": "Sr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-08-03",
        "last_updated": "2022-08-03",
        "certification_date": "2022-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "3747A0650X",
            "taxonomy_group": "",
            "desc": "Technician, Attendant Care Provider",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NA",
            "identifier": "NA",
            "state": "CA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "na",
            "affiliation": "N",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "na",
            "address_1": "2929 Calariva Dr",
            "city": "Stockton",
            "state": "CA",
            "country_code": "US",
            "postal_code": "952041408",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Charlotte Felix, RD
• Deneen Felix
• Lizette Marie Felix
• Rhonda Kenya Felix
• Felton Institute
• Nichole Laureal Fenley
• Javonni Ferguson
• Kimberly Ferguson, MA
• Matthew John Fernandes, AMFT
• Richlyn Dawne Fernandes, DDS

• Attendant Care Provider in Stockton, CA
• Providers in Stockton, CA by specialty
• Attendant Care Provider in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2022; 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.