Active NPI
Joseph T. Marino, M.D., Inc.
- Allergy & Immunology Physician
- Carmichael, CA
National Provider Identifier
1174546261
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Allergy & Immunology Physician
- License
- G38742
- Legal business name
- JOSEPH T. MARINO, M.D., INC.
- Practice address
- 6660 Coyle Avenue
Suite 330
Carmichael, CA 95608-0303 - Phone
- (916) 962-3112
- Fax
- (916) 962-1536
- NPI assigned
- Jul 26, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Joseph T. Marino Jr., M.D.
- Title
- President/Physician
- Phone
- (916) 962-3112
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Allergy & Immunology Physician | 207K00000X | G38742 | CA | Primary |
| Pediatric Pulmonology Physician | 2080P0214X | G38742 | CA |
Addresses
Primary practice location
6660 Coyle Avenue
Suite 330
Carmichael, CA 95608-0303
Mailing address
6660 Coyle Avenue
Suite 330
Carmichael, CA 95608-0303
Phone (916) 962-3112
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00G387420 | Medicaid | CA |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153872000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1299024000000",
"number": "1174546261",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6660 COYLE AVENUE",
"address_2": "SUITE 330",
"city": "CARMICHAEL",
"state": "CA",
"postal_code": "956080303",
"telephone_number": "916-962-3112",
"fax_number": "916-962-1536"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6660 COYLE AVENUE",
"address_2": "SUITE 330",
"city": "CARMICHAEL",
"state": "CA",
"postal_code": "956080303",
"telephone_number": "916-962-3112",
"fax_number": "916-962-1536"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JOSEPH T. MARINO, M.D., INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-26",
"last_updated": "2011-03-02",
"status": "A",
"authorized_official_last_name": "MARINO",
"authorized_official_first_name": "JOSEPH",
"authorized_official_middle_name": "T.",
"authorized_official_title_or_position": "PRESIDENT/PHYSICIAN",
"authorized_official_telephone_number": "916-962-3112",
"authorized_official_name_prefix": "Dr.",
"authorized_official_name_suffix": "Jr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207K00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Allergy & Immunology",
"state": "CA",
"license": "G38742",
"primary": true
},
{
"code": "2080P0214X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pediatrics, Pediatric Pulmonology",
"state": "CA",
"license": "G38742",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00G387420",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Carmichael, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.