Individual provider Active NPI

Eddie Marmolejo Jr., RESPIRATORY THERAPIS

  • Registered Respiratory Therapist
  • Bakersfield, CA
National Provider Identifier
1154512945
Registry record updated Aug 6, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered Respiratory TherapistTaxonomy code 227900000X
License
00000299 Issued in CA
Practice address
9914 Balvanera Ave
Bakersfield, CA 93312-5302
Phone
(661) 588-8689
NPI assigned
Aug 6, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 6, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Respiratory Therapist 227900000X 00000299 CA Primary

Addresses

Primary practice location

9914 Balvanera Ave
Bakersfield, CA 93312-5302

Mailing address

9914 Balvanera Ave
Bakersfield, CA 93312-5302
Phone (661) 588-8689

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
00000299CAMDRegistered Respiratory Therapist

NPI Registry JSON

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

{
    "created_epoch": "1186358400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1186358400000",
    "number": "1154512945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9914 BALVANERA AVE",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933125302",
            "telephone_number": "661-588-8689"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9914 BALVANERA AVE",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933125302",
            "telephone_number": "661-588-8689"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARMOLEJO",
        "first_name": "EDDIE",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "RESPIRATORY THERAPIS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-08-06",
        "last_updated": "2007-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "227900000X",
            "taxonomy_group": "",
            "desc": "Respiratory Therapist, Registered",
            "state": "CA",
            "license": "00000299",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bakersfield, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2007; 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.