Individual provider Active NPI

Chad R Marquis, C.P.O.

  • Prosthetist
  • Mission Viejo, CA
National Provider Identifier
1093986754
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ProsthetistTaxonomy code 224P00000X
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

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

OrganizationSpecialtyStatusNew patients
Prosthetic & Orthotic Group Orange County, LLC Orthotist CurrentSince Jul 24, 2022 Accepting new patients
Coastal P&O LLC Orthotist CurrentSince Aug 15, 2021 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.

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.

Verify at the official NPI Registry.