Marion Medical Supply, Inc

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

44380 Issued in CA

Legal business name

MARION MEDICAL SUPPLY, INC

Practice address

2508 Franklin Blvd
Sacramento, CA 95818-2714

Phone

(916) 451-4461

Fax

(916) 451-4049

NPI assigned

Aug 12, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Augustine Antonio Correa

Title

Owner

Phone

(916) 451-4461

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1155340800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1235141854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2508 FRANKLIN BLVD",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958182714",
            "telephone_number": "916-451-4461",
            "fax_number": "916-451-4049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2508 FRANKLIN BLVD",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958182714",
            "telephone_number": "916-451-4461",
            "fax_number": "916-451-4049"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARION MEDICAL SUPPLY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CORREA",
        "authorized_official_first_name": "AUGUSTINE",
        "authorized_official_middle_name": "ANTONIO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "916-451-4461"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "CA",
            "license": "44380",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "DME03308F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Zitlaly Marin
• Lisa Marinelli, M.D.
• Arianne Shana Marino, D.O.
• Olivia Rose Marino
• Valentina Marinova
• Ian William Marion, D.D.S.
• Katelyn Rose Marion
• Kristy Lee Marion
• Zitlalic Mariscal Zarate
• Scott Robert Marison Jr., MD

• Durable Medical Equipment & Medical Supplies in Sacramento, CA
• Providers in Sacramento, CA by specialty
• Durable Medical Equipment & Medical Supplies in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.