Active NPI
Alexander William Marshall, MD
- Pediatrics Physician
- Loma Linda, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 1900851
- Practice address
- 11175 Campus St
Coleman Pavilion, A1111
Loma Linda, CA 92354 - Phone
- (877) 558-6248
- NPI assigned
- Apr 29, 2020
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 1900851 | CA | Primary |
Addresses
Primary practice location
11175 Campus St
Coleman Pavilion, A1111
Loma Linda, CA 92354
Mailing address
11175 Campus St
Coleman Pavilion, A1111
Loma Linda, CA 92354
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 88.87 of 100
- Quality
- 72.13
- Promoting interoperability
- 80
- Improvement activities
- 40
- Cost
- 77.36
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1900851 | CA | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Faculty Physicians and Surgeons of Llusm | Pediatrics | Current | Accepting new patients |
| Faculty Physicians and Surgeons of Llusm | Current | Accepting new patients | |
| Faculty Physicians and Surgeons of Llusm | Current | Accepting new patients | |
| Faculty Physicians and Surgeons of Llusm | Current | Accepting new patients | |
| Diagnostic Imaging Services | Past | Accepting new patients | |
| Loma Linda University Children'S Hospital | Past | Accepting new patients | |
| Loma Linda University Medical Center | Past | Accepting new patients |
Locations
81 Highland Springs Ave
Ste 103
Beaumont, CA 92223
Phone (909) 558-2830
12021 Jacaranda Ave
Hesperia, CA 92345
Phone (909) 558-4207
7223 Church St
Ste C1
Highland, CA 92346
Phone (909) 425-3946
11370 Anderson St
#B100
Loma Linda, CA 92354
Phone (909) 558-2848
11234 Anderson St
Loma Linda, CA 92350
Phone (909) 558-3016
11370 Anderson St
Ste 2600
Loma Linda, CA 92354
Phone (909) 558-2890
11234 Anderson St
Ofc
Loma Linda, CA 92350
Phone (909) 558-4074
25845 Barton Rd
Ste F
Loma Linda, CA 92354
Phone (909) 558-2828
File Number 54701
Los Angeles, CA 90074
Phone (909) 651-4300
11401 Heacock St
Ste 330
Moreno Valley, CA 92557
Phone (951) 247-8697
11441 Heacock St
Ste C
Moreno Valley, CA 92557
Phone (951) 247-5809
28078 Baxter Rd
Murrieta, CA 92563
Phone (951) 290-4000
26780 Barton Rd
Redlands, CA 92373
Phone (909) 558-5174
2195 Club Center Dr
Ste A
Sn Bernrdno, CA 92408
Phone (909) 835-1750
901 San Bernardino Rd
Ste 104
Upland, CA 91786
Phone (909) 542-2779
Interoperability endpoints
- amarshall134899@direct.llu.edu
Organizations & group practices 7
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.
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-
- Family Medicine Physician
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- NPI 1558788331
-
- Pediatric Cardiology Physician
- Upland, CA
- NPI 1912343104
Pediatrics
-
- Children's Hospital
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- NPI 1366866345
-
- General Acute Care Hospital
- Loma Linda, CA
- NPI 1194731935
-
- Magnetic Resonance Imaging (MRI) Internal Medicine Physician
- Metairie, LA
- NPI 1699793166
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1588118400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1695168000000",
"number": "1215558366",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11175 CAMPUS ST",
"address_2": "COLEMAN PAVILION, A1111",
"city": "LOMA LINDA",
"state": "CA",
"postal_code": "92354"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11175 CAMPUS ST",
"address_2": "COLEMAN PAVILION, A1111",
"city": "LOMA LINDA",
"state": "CA",
"postal_code": "92354",
"telephone_number": "877-558-6248"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARSHALL",
"first_name": "ALEXANDER",
"middle_name": "WILLIAM",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-04-29",
"last_updated": "2023-09-20",
"certification_date": "2023-09-19",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "CA",
"license": "1900851",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Loma Linda, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.