Corey H Marco, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

A22907 Issued in CA

Practice address

280 Avocado Ave
El Cajon, CA 92020-4604

Phone

(619) 442-0424

Fax

(619) 442-8517

NPI assigned

Mar 21, 2006

Last updated

Jun 7, 2012By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Doctor of Medicine

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Corey H. Marco, Inc.

  • Family Medicine Physician
  • El Cajon, CA
  • NPI 1598026395
  NPD Authorized official

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

{
    "created_epoch": "1142899200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1339027200000",
    "number": "1225097991",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "280 AVOCADO AVE",
            "city": "EL CAJON",
            "state": "CA",
            "postal_code": "920204604",
            "telephone_number": "619-442-0424",
            "fax_number": "619-442-8517"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "280 AVOCADO AVE",
            "city": "EL CAJON",
            "state": "CA",
            "postal_code": "920204604",
            "telephone_number": "619-442-0424",
            "fax_number": "619-442-8517"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARCO",
        "first_name": "COREY",
        "middle_name": "H",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-21",
        "last_updated": "2012-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "173000000X",
            "taxonomy_group": "",
            "desc": "Legal Medicine",
            "state": "CA",
            "license": "A22907",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A22907",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mariel Anne Manuel, SLP
• Manzanita Health Department
• Sophia Mapalo
• Franklin Maphis, PTA
• Mar Charbel LLC (Mercy Medical Transportation)
• Gina Marie Marcon, FNP
• Michelle Marcotte, L.AC
• Tanya Amber Marcus, PAC
• Victoria Marentez, M.A.
• Mareta Transportation

• Family Medicine Physician in El Cajon, CA
• Providers in El Cajon, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2012; 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.