Active NPI
Chad R Marquis, C.P.O.
- Prosthetist
- Mission Viejo, CA
National Provider Identifier
1093986754
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthetist
- Practice address
- 26300 La Alameda Ste 120
Mission Viejo, CA 92691-6380 - Phone
- (949) 272-2237
- Fax
- (949) 367-0277
- NPI assigned
- Mar 20, 2008
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthotist | 222Z00000X | |||
| Prosthetist | 224P00000X | Primary |
Addresses
Primary practice location
26300 La Alameda Ste 120
Mission Viejo, CA 92691-6380
Mailing address
26300 La Alameda Suite 120
Mission Viejo, CA 92691
Phone (949) 272-2237
Other practice location 1
1920 E Katella Ave
Suite I
Orange, CA 92867-5146
Phone (714) 639-7422
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Prosthetic & Orthotic Group Orange County, LLC | Orthotist | Current | Accepting new patients |
| Coastal P&O LLC | Orthotist | Current | Accepting new patients |
Locations
26300 La Alameda
Ste 120
Mission Viejo, CA 92691
Phone (949) 242-2237
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Orthotist
- Mission Viejo, CA
- NPI 1316612575
-
- Prosthetic/Orthotic Supplier
- Mission Viejo, CA
- NPI 1720518798
Orthotist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1205971200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1093986754",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "26300 LA ALAMEDA SUITE 120",
"city": "MISSION VIEJO",
"state": "CA",
"postal_code": "92691",
"telephone_number": "949-272-2237"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "26300 LA ALAMEDA STE 120",
"city": "MISSION VIEJO",
"state": "CA",
"postal_code": "926916380",
"telephone_number": "949-272-2237",
"fax_number": "949-367-0277"
}
],
"practiceLocations": [
{
"address_1": "1920 E Katella Ave",
"address_2": "Suite I",
"address_purpose": "LOCATION",
"city": "Orange",
"state": "CA",
"postal_code": "928675146",
"country_code": "US",
"telephone_number": "714-639-7422",
"fax_number": "714-639-8990",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MARQUIS",
"first_name": "CHAD",
"middle_name": "R",
"name_prefix": "Mr.",
"credential": "C.P.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-03-20",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "222Z00000X",
"taxonomy_group": "",
"desc": "Orthotist",
"state": null,
"license": null,
"primary": false
},
{
"code": "224P00000X",
"taxonomy_group": "",
"desc": "Prosthetist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mission Viejo, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 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.