Active NPI
Greg L Marlay
- Preferred Provider Organization
- National City, CA
National Provider Identifier
1184779159
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Preferred Provider Organization
- License
- 6998
- Legal business name
- GREG L MARLAY
- Practice address
- 1132 E Plaza Blvd
Suite 201
National City, CA 91950-3548 - Phone
- (619) 477-4166
- NPI assigned
- Jan 23, 2007
- 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
- Greg Lief Marlay, OPTOMETRIST
- Title
- Owner
- Phone
- (619) 477-4166
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Preferred Provider Organization | 305R00000X | 6998 | CA | Primary |
Addresses
Primary practice location
1132 E Plaza Blvd
Suite 201
National City, CA 91950-3548
Mailing address
1132 E Plaza Blvd
Suite 201
National City, CA 91950-3548
Phone (619) 477-4166
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DS0069980 | Medicaid | CA |
National Provider Directory
National Provider DirectoryLocations
1132 E Plaza Blvd
Ste 201
National City, CA 91950
Phone (619) 477-4166
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Optometrist
- National City, CA
- NPI 1306903083
-
- Optometrist
- San Diego, CA
- NPI 1437604006
-
- Optometrist
- National City, CA
- NPI 1922928662
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169510400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1375315200000",
"number": "1184779159",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1132 E PLAZA BLVD",
"address_2": "SUITE 201",
"city": "NATIONAL CITY",
"state": "CA",
"postal_code": "919503548",
"telephone_number": "619-477-4166"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1132 E PLAZA BLVD",
"address_2": "SUITE 201",
"city": "NATIONAL CITY",
"state": "CA",
"postal_code": "919503548",
"telephone_number": "619-477-4166"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GREG L MARLAY",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-23",
"last_updated": "2013-08-01",
"status": "A",
"authorized_official_last_name": "MARLAY",
"authorized_official_first_name": "GREG",
"authorized_official_middle_name": "LIEF",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "619-477-4166",
"authorized_official_credential": "OPTOMETRIST"
},
"taxonomies": [
{
"code": "305R00000X",
"taxonomy_group": "",
"desc": "Preferred Provider Organization",
"state": "CA",
"license": "6998",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "DS0069980",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in National City, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.