Nolan Marcos

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

18008 Sky Park Cir Ste 110
Irvine, CA 92614-6434

Phone

(949) 474-1493

NPI assigned

Mar 7, 2018

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

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.

• West Yavapai Guidance Clinic

  dba Polara Health

  • Clinic/Center
  • Camp Verde, AZ
  • NPI 1538878186
  NPD
• West Yavapai Guidance Clinic, Inc.

  dba Polara Health

  • Clinic/Center
  • Prescott Valley, AZ
  • NPI 1417901943
  NPD

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

{
    "created_epoch": "1520380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611619200000",
    "number": "1184126831",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18008 SKY PARK CIR STE 110",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926146434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18008 SKY PARK CIR STE 110",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926146434",
            "telephone_number": "949-474-1493"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7600 E Florentine Rd Ste 201",
            "address_purpose": "LOCATION",
            "city": "Prescott Valley",
            "state": "AZ",
            "postal_code": "863141295",
            "country_code": "US",
            "telephone_number": "928-772-1610",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARCOS",
        "first_name": "NOLAN",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-03-07",
        "last_updated": "2021-01-26",
        "certification_date": "2021-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AZ",
            "license": "6880",
            "primary": false
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Delilah Mar
• Maria Marasigan
• Marc a. Lazzara D.O., a Medical Corporation
• Marc Pana Professional Dental Corporation
• Rosalinda Marchan
• Christine Alyse Marcucci, AGPCNP-BC
• Meagan Marie Marcuccilli, M.D.
• Meghan J Marcum, PSYD
• Amirah Elizabeth-Monae Marcus
• Anne Marie Marcus

• Behavior Technician in Irvine, CA
• Providers in Irvine, CA by specialty
• Behavior Technician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2021; 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.