Active NPI
Louis Edward Marchioli, M.D.
- Allergy & Immunology Physician
- La Mirada, CA
National Provider Identifier
1164414603
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Allergy & Immunology Physician
- License
- C35395
- Practice address
- 15040 Imperial Hwy
La Mirada, CA 90638-1301 - Phone
- (562) 902-1014
- Fax
- (562) 902-1015
- NPI assigned
- Aug 19, 2005
- Reactivated
- Apr 5, 2006
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Allergy Physician | 207KA0200X | C35395 | CA | |
| Allergy & Immunology (Internal Medicine) Physician | 207RA0201X | C35395 | CA | |
| Allergy & Immunology Physician | 207K00000X | C35395 | CA | Primary |
Addresses
Primary practice location
15040 Imperial Hwy
La Mirada, CA 90638-1301
Mailing address
15040 Imperial Hwy
La Mirada, CA 90638-1301
Phone (562) 902-1014
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 953063755 | Other | CA | TAX ID # |
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)
- Enrolled
- Credentials
- Doctor of Medicine
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1124409600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1488844800000",
"number": "1164414603",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15040 IMPERIAL HWY",
"city": "LA MIRADA",
"state": "CA",
"postal_code": "906381301",
"telephone_number": "562-902-1014",
"fax_number": "562-902-1015"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15040 IMPERIAL HWY",
"city": "LA MIRADA",
"state": "CA",
"postal_code": "906381301",
"telephone_number": "562-902-1014",
"fax_number": "562-902-1015"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARCHIOLI",
"first_name": "LOUIS",
"middle_name": "EDWARD",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-19",
"last_updated": "2017-03-07",
"deactivation_date": "2006-03-25",
"reactivation_date": "2006-04-05",
"status": "A"
},
"taxonomies": [
{
"code": "207KA0200X",
"taxonomy_group": "",
"desc": "Allergy & Immunology, Allergy",
"state": "CA",
"license": "C35395",
"primary": false
},
{
"code": "207RA0201X",
"taxonomy_group": "",
"desc": "Internal Medicine, Allergy & Immunology",
"state": "CA",
"license": "C35395",
"primary": false
},
{
"code": "207K00000X",
"taxonomy_group": "",
"desc": "Allergy & Immunology",
"state": "CA",
"license": "C35395",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TAX ID #",
"identifier": "953063755",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in La Mirada, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.