Maria Luz Lara-Marquez, MD, PHD

Primary specialty

Allergy & Immunology PhysicianTaxonomy code 207K00000X

License

2025-0855 Issued in NC

Practice address

1792 Queen Catherine LN
Winston Salem, NC 27106-4631

Phone

(504) 402-9469

Fax

(858) 244-7267

NPI assigned

Jun 13, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Other identifiers 1

Electronic endpoints 1

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

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine, Doctor of Philosophy

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: maria.laramarquez.p1@direct.cdsdp.nextgenshare.com
• Direct secure messaging: maria.lara-marquez@265800236990468.direct.elationemr.com

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.

• County of Santa Clara

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • San Jose, CA
  • NPI 1699885079
  Medicare reassignment NPD
• County of Santa Clara

  • Anesthesiology Physician
  • San Jose, CA
  • NPI 1588721500
  NPD
• County of Santa Clara

  • Pharmacy
  • San Jose, CA
  • NPI 1891871919
  NPD

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

{
    "created_epoch": "1307923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762560000000",
    "number": "1235424771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1792 QUEEN CATHERINE LN",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271064631",
            "telephone_number": "504-402-9469",
            "fax_number": "858-244-7267"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1792 QUEEN CATHERINE LN",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271064631",
            "telephone_number": "504-402-9469",
            "fax_number": "858-244-7267"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3675 Ruffin Rd Ste 120",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921231870",
            "country_code": "US",
            "telephone_number": "504-402-9469",
            "fax_number": "888-939-4213",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LARA-MARQUEZ",
        "first_name": "MARIA",
        "middle_name": "LUZ",
        "credential": "MD, PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-13",
        "last_updated": "2025-11-08",
        "certification_date": "2025-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NC",
            "license": "2025-00855",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "CA",
            "license": "A145699",
            "primary": false
        },
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "CA",
            "license": "A145699",
            "primary": false
        },
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "NC",
            "license": "2025-0855",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1235424771",
            "state": "CA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "maria.lara-marquez@265800236990468.direct.elationemr.com",
            "affiliation": "N",
            "endpointDescription": "This is my EMR-direct address-Telemedicine virtual clinic address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "3675 Ruffin Rd Ste 120",
            "city": "San Diego",
            "state": "CA",
            "country_code": "US",
            "postal_code": "921231870",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Tobbie Lanning, MA, CFY-SLP
• Bruce Edward Lantelme, MD
• Patrick Eugene Lantz, MD
• Elizabeth Laprade, RBT, LCSW-A
• Denise Lapre, MSN FNP - C
• Olivia Nicole Lardo, MD
• Melvin Terrell Larker, MD
• Jade Jennifer Larkin, LCSW
• Larry Burnett & Associates, Inc.
• Larry S Kilby MD PA

• Allergy & Immunology Physician in Winston Salem, NC
• Providers in Winston Salem, NC by specialty
• Allergy & Immunology Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2025; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.