Marco Antonio Cazares, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

23477 Issued in CA

Practice address

81-480 Avenue 46. Suite 102
Indio, CA 92220

Phone

(760) 863-5955

Fax

(760) 863-5655

NPI assigned

Feb 14, 2007

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

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Desert Physical Medicine & Pain Management

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Indio, CA
  • NPI 1336823699
  NPD (past)

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

{
    "created_epoch": "1171411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1124161708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "81-480 AVENUE 46. SUITE 102",
            "city": "INDIO",
            "state": "CA",
            "postal_code": "92220",
            "telephone_number": "760-863-5955",
            "fax_number": "760-863-5655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "81-480 AVENUE 46. SUITE 102",
            "city": "INDIO",
            "state": "CA",
            "postal_code": "92220",
            "telephone_number": "760-863-5955",
            "fax_number": "760-863-5655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAZARES",
        "first_name": "MARCO",
        "middle_name": "ANTONIO",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "23477",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ramon Castro Jr.
• Sylvia Stephanie Castro, LVN
• Ann Paulyn Castronero
• Catholic Charities San Bernardino/Riverside
• Jairy Cazares-Colmenares
• Leonardo Julian Cazarez Gallardo
• Juan Manuel Cazarez
• Ashley Renee Cecil, NP
• Marisela Ceja, MSN
• Lorenzo Albert Cendejas

• Chiropractor in Indio, CA
• Providers in Indio, CA by specialty
• Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.