Active NPI
Marriane Zurbano, NURSE PRACTITIONER
- Nurse Practitioner
- La Mesa, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 95006441
- Practice address
- 4579 Maple Ave Ste 1
La Mesa, CA 91941-3154 - Phone
- (619) 567-2258
- Fax
- (888) 628-6680
- NPI assigned
- Apr 20, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 95006441 | CA | Primary |
Addresses
Primary practice location
4579 Maple Ave Ste 1
La Mesa, CA 91941-3154
Mailing address
4579 Maple Ave Ste 1
La Mesa, CA 91941-3154
Phone (619) 567-2258
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | soap | Health Information Exchange (HIE) |
Medicare participation
Medicare enrollment files- 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: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cristina Tobon-Chung FNP a Professional Medical Corporation | Current | Accepting new patients | |
| Ace Mobile Nursing Provider Inc. | Nurse Practitioner | Current | Accepting new patients |
| Candelario Chiropractic a Professional Corporation | Past | Accepting new patients |
Locations
3450 Bonita Rd
Ste 205
Chula Vista, CA 91910
Phone (619) 948-7530
2453 Fenton St
Chula Vista, CA 91914
Phone (619) 948-7530
7227 Broadway
Ste 402
Lemon Grove, CA 91945
Phone (619) 253-6451
7227 Broadway
Ste 405
Lemon Grove, CA 91945
Phone (213) 663-8836
Organizations & group practices 3
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.
-
- Nurse Practitioner
- Chula Vista, CA
- NPI 1386273316
-
- Internal Medicine Physician
- Lemon Grove, CA
- NPI 1891408043
-
- Chiropractor
- Bonita, CA
- NPI 1225189905
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1492646400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1623974400000",
"number": "1174058762",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4579 MAPLE AVE STE 1",
"city": "LA MESA",
"state": "CA",
"postal_code": "919413154",
"telephone_number": "619-567-2258"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4579 MAPLE AVE STE 1",
"city": "LA MESA",
"state": "CA",
"postal_code": "919413154",
"telephone_number": "619-567-2258",
"fax_number": "888-628-6680"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZURBANO",
"first_name": "MARRIANE",
"credential": "NURSE PRACTITIONER",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-04-20",
"last_updated": "2021-06-18",
"certification_date": "2021-06-03",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "CA",
"license": "95006441",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "soap",
"affiliation": "N",
"endpointDescription": "direct message",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "1333 Camino Del Rio S Ste 306",
"city": "San Diego",
"state": "CA",
"country_code": "US",
"postal_code": "921083520",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in La Mesa, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2021; 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.