NPIMap

Individual provider Active NPI

Justin M Marasigan, DO

  • Gastroenterology Physician
  • Oxnard, CA
National Provider Identifier
1174714067
Registry record updated Mar 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
20A18363 Issued in CA
Practice address
2241 Wankel Way Ste a
Oxnard, CA 93030-0191
Phone
(805) 983-0521
Fax
(805) 983-4186
NPI assigned
Aug 6, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 18, 2021

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 5101017474 MI
Internal Medicine Physician 207R00000X OP60345419 WA
Gastroenterology Physician 207RG0100X OS015147 PA
Gastroenterology Physician 207RG0100X OP60345419 WA
Gastroenterology Physician 207RG0100X 20A18363 CA Primary

Addresses

Primary practice location

2241 Wankel Way Ste a
Oxnard, CA 93030-0191

Mailing address

225 W Broadway Ste 350
Glendale, CA 91204-1303
Phone (626) 808-4774

Other practice location 1

1006 North H Street
Aberdeen, WA 98520
Phone (360) 537-6496

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200721000807 CA Practitioner - Gastroenterology 7618110339 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Genesis Healthcare Partners PCGroup PAC ID 2163606807, 232 clinicians

Practice addresses (Care Compare)

2241 Wankel Way
Suite a
Oxnard, CA 93030-0191
Phone (805) 983-0521

Hospital & facility affiliations

  • St Johns Regional Medical Center Hospital, Oxnard, CA, CCN 050082
  • Community Memorial Hospital - Ventura Hospital, Ventura, CA, CCN 050394

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy180
Upper gastrointestinal (GI) endoscopy for acid reflux168

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy, Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
5101017474MIMDInternal Medicine Physician
20A18363CAMDGastroenterology Physician
OS015147PAMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Genesis Healthcare Partners PC CurrentSince Oct 1, 2022 Accepting new patients
Dignity Health Past Accepting new patients

Locations

225 W Broadway
Ste 350
Glendale, CA 91204
Phone (626) 808-4754

9850 Genesee Ave
Ste 440
La Jolla, CA 92037
Phone (858) 453-5944

2241 Wankel Way
Ste A
Oxnard, CA 93030
Phone (805) 983-0521

50 Alessandro Pl
Ste 410
Pasadena, CA 91105
Phone (626) 793-7114

Interoperability endpoints

  • Direct secure messaging: justin.marasigan.1@3663.direct.athenahealth.com

Organizations & group practices 2

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.

Hospital & facility affiliations 11

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1186358400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616025600000",
    "number": "1174714067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 W BROADWAY STE 350",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912041303",
            "telephone_number": "626-808-4774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2241 WANKEL WAY STE A",
            "city": "OXNARD",
            "state": "CA",
            "postal_code": "930300191",
            "telephone_number": "805-983-0521",
            "fax_number": "805-983-4186"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1006 North H Street",
            "address_purpose": "LOCATION",
            "city": "Aberdeen",
            "state": "WA",
            "postal_code": "98520",
            "country_code": "US",
            "telephone_number": "360-537-6496",
            "fax_number": "360-537-6322",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARASIGAN",
        "first_name": "JUSTIN",
        "middle_name": "M",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-08-06",
        "last_updated": "2021-03-18",
        "certification_date": "2021-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "5101017474",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "WA",
            "license": "OP60345419",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "PA",
            "license": "OS015147",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "WA",
            "license": "OP60345419",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "CA",
            "license": "20A18363",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oxnard, CA

Sources for this page

Verify at the official NPI Registry.