Andrew M Marzan

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

135203 Issued in CA

Practice address

7103 Ballygar Way
Elk Grove, CA 95758-4423

Phone

(916) 548-9910

NPI assigned

Aug 4, 2014

Sex

Male

Sole proprietor

No

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)

Not enrolled

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

{
    "created_epoch": "1407110400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705017600000",
    "number": "1225447303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 269131",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958269057",
            "telephone_number": "916-874-4063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7103 BALLYGAR WAY",
            "city": "ELK GROVE",
            "state": "CA",
            "postal_code": "957584423",
            "telephone_number": "916-548-9910"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2130 Stockton Blvd Ste 300",
            "address_purpose": "LOCATION",
            "city": "Sacramento",
            "state": "CA",
            "postal_code": "958171337",
            "country_code": "US",
            "telephone_number": "916-520-2460",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4741 Engle Rd",
            "address_purpose": "LOCATION",
            "city": "Carmichael",
            "state": "CA",
            "postal_code": "956082223",
            "country_code": "US",
            "telephone_number": "916-977-0423 x91648",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARZAN",
        "first_name": "ANDREW",
        "middle_name": "M",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-08-04",
        "last_updated": "2024-01-12",
        "certification_date": "2024-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "135203",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marcett Fontane Martinez
• Sara Salina Martinez
• Tiffany Amber Martinez
• William J Martinez, P.T.
• Laquana Cherie Maryland, RN
• Ahmad Moein Mashal
• Jennifer J Mashburn, LCSW
• Paula Mason, RD
• Tabitha L Mason, FNP
• Marame Masri

• Marriage & Family Therapist in Elk Grove, CA
• Providers in Elk Grove, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 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.

Verify at the official NPI Registry.