Gustavo Marks, MD Inc

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

A54483 Issued in CA

Legal business name

GUSTAVO MARKS, MD INC

Practice address

22030 Sherman Way #318
Canoga Park, CA 91303-1886

Phone

(818) 999-5900

Fax

(818) 999-5901

NPI assigned

Aug 21, 2012

Organization subpart

No

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

Authorized official

Name

Gustavo Marks, MD

Title

Owner

Phone

(818) 999-5900

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1345507200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1345507200000",
    "number": "1164770228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 27206",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900270206",
            "telephone_number": "213-385-0675",
            "fax_number": "213-365-6429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22030 SHERMAN WAY #318",
            "city": "CANOGA PARK",
            "state": "CA",
            "postal_code": "913031886",
            "telephone_number": "818-999-5900",
            "fax_number": "818-999-5901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GUSTAVO MARKS, MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-21",
        "last_updated": "2012-08-21",
        "status": "A",
        "authorized_official_last_name": "MARKS",
        "authorized_official_first_name": "GUSTAVO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "818-999-5900",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A54483",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Raul Guerrero
• Krutika Vikram Gujarathi
• Grigor Gundrachyan
• Maya Gurusiddaiah
• Gustavo Marks
• Ian Gutglueck
• Stephanie Gutierrez Arechiga
• Gloria Gutierrez Martinez
• Hugo Gutierrez Mora
• Ericberto Gutierrez-Martinez

• Family Medicine Physician in Canoga Park, CA
• Providers in Canoga Park, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2012; 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.