Active NPI
Rachel Marcus, NURSE PRACTITIONER
- Nurse Practitioner
- Corona, CA
National Provider Identifier
1215745377
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 95032681
- Practice address
- 770 Magnolia Ave Ste 2a
Corona, CA 92879-3122 - Phone
- (951) 736-8144
- NPI assigned
- Dec 20, 2024
- Last updated
- Dec 20, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 1158951 | KY | |
| Registered Nurse | 163W00000X | 95230406 | CA | |
| Nurse Practitioner | 363L00000X | 95032681 | CA | Primary |
Addresses
Primary practice location
770 Magnolia Ave Ste 2a
Corona, CA 92879-3122
Mailing address
2960 Champion Way Apt 1307
Tustin, CA 92782-1215
Phone (502) 475-3311
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 |
|---|---|---|---|
| 95230406 | CA | MD | Registered Nurse |
| 1158951 | KY | MD | Registered Nurse |
| 95032681 | CA | MD | Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1734652800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1734652800000",
"number": "1215745377",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2960 CHAMPION WAY APT 1307",
"city": "TUSTIN",
"state": "CA",
"postal_code": "927821215",
"telephone_number": "502-475-3311"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "770 MAGNOLIA AVE STE 2A",
"city": "CORONA",
"state": "CA",
"postal_code": "928793122",
"telephone_number": "951-736-8144"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARCUS",
"first_name": "RACHEL",
"credential": "NURSE PRACTITIONER",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-12-20",
"last_updated": "2024-12-20",
"certification_date": "2024-12-20",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "KY",
"license": "1158951",
"primary": false
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "CA",
"license": "95230406",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "CA",
"license": "95032681",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Corona, CA
- Oana Anca Marc
- Fatima Marcelo
- Ericson Marcial
- Lidia Marisela Marcinkowski, D.D.S.
- Victoria Brandy Marcos
- Gabriella Maria Mares-Galletta
- Maria Elena Acal D.M.D. a Professional Corporation
- Maria Lourdes Ignacio Jeturian DDS Inc (Green River Family Dentistry)
- Daisis Mariano
- Monique Cerissa Mariscal, PA-C
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.