Active NPI
Oscar Marin, D.D.S.
- Dentist
- West Covina, CA
National Provider Identifier
1174540637
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 50785
- Practice address
- 3660 Nogales Street
BLDG H. Ste D
West Covina, CA 91792 - Phone
- (626) 810-5000
- Fax
- (626) 810-2224
- NPI assigned
- Jul 17, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Dentist | 122300000X | 50785 | CA | Primary |
Addresses
Primary practice location
3660 Nogales Street
BLDG H. Ste D
West Covina, CA 91792
Mailing address
3660 Nogales Street
BLDG H. Ste D
West Covina, CA 91792
Phone (626) 810-5000
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
| License | State | Type | Specialty |
|---|---|---|---|
| 50785 | CA | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153094400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1255392000000",
"number": "1174540637",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3660 NOGALES STREET",
"address_2": "BLDG H. STE D",
"city": "WEST COVINA",
"state": "CA",
"postal_code": "91792",
"telephone_number": "626-810-5000",
"fax_number": "626-810-2224"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3660 NOGALES STREET",
"address_2": "BLDG H. STE D",
"city": "WEST COVINA",
"state": "CA",
"postal_code": "91792",
"telephone_number": "626-810-5000",
"fax_number": "626-810-2224"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARIN",
"first_name": "OSCAR",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-17",
"last_updated": "2009-10-13",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "50785",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in West Covina, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.