Active NPI
Georgina Adela Marquez, DVM
- Internal Medicine Physician
- Fountain Valley, CA
National Provider Identifier
1194246934
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 12840
- Practice address
- 18300 Euclid St
Fountain Valley, CA 92708-6114 - Phone
- (714) 241-9001
- NPI assigned
- Jul 2, 2017
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 12840 | CA | Primary |
Addresses
Primary practice location
18300 Euclid St
Fountain Valley, CA 92708-6114
Mailing address
18300 Euclid St
Fountain Valley, CA 92708-6114
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 12840 | Other | CA | VETERINARIAN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12840 | CA | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1498953600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1498953600000",
"number": "1194246934",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18300 EUCLID ST",
"city": "FOUNTAIN VALLEY",
"state": "CA",
"postal_code": "927086114"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18300 EUCLID ST",
"city": "FOUNTAIN VALLEY",
"state": "CA",
"postal_code": "927086114",
"telephone_number": "714-241-9001"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARQUEZ",
"first_name": "GEORGINA",
"middle_name": "ADELA",
"name_prefix": "Dr.",
"credential": "DVM",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-07-02",
"last_updated": "2017-07-02",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CA",
"license": "12840",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VETERINARIAN",
"identifier": "12840",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Fountain Valley, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.