Organization Active NPI

Joseph T. Marino, M.D., Inc.

  • Allergy & Immunology Physician
  • Carmichael, CA
National Provider Identifier
1174546261
Registry record updated Mar 2, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
License
G38742 Issued in CA
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

Updated by the provider on Mar 2, 2011

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)CodeLicenseStatePrimary
Allergy & Immunology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207K00000X G38742 CA Primary
Pediatric Pulmonology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 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

IdentifierTypeStateIssuer
00G387420MedicaidCA

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.