Individual provider Active NPI

John S Marshburn, M.D.

  • Ophthalmology Physician
  • Placentia, CA
National Provider Identifier
1245246164
Registry record updated Nov 28, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
A60789 Issued in CA
Practice address
1275 N Rose Dr
Suite 112
Placentia, CA 92870-3941
Phone
(714) 792-1199
Fax
(714) 792-1196
NPI assigned
Jul 31, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 28, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X A60789 CA Primary

Addresses

Primary practice location

1275 N Rose Dr
Suite 112
Placentia, CA 92870-3941

Mailing address

1275 N Rose Dr
Suite 112
Placentia, CA 92870-3941
Phone (714) 792-1199

Other identifiers 1

IdentifierTypeStateIssuer
A60789OtherCASTATE LICENSE

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20080208000561 CA Practitioner - Ophthalmology 5496838773 Practice locations: Placentia, CA

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Tulane University School of Medicine, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1275 N Rose Dr
Placentia, CA 92870-3919
Phone (714) 792-1199

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery112

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A60789CAMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of California Irvine PastSince Apr 8, 2015 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1154304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1196208000000",
    "number": "1245246164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1275 N ROSE DR",
            "address_2": "SUITE 112",
            "city": "PLACENTIA",
            "state": "CA",
            "postal_code": "928703941",
            "telephone_number": "714-792-1199",
            "fax_number": "714-792-1196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1275 N ROSE DR",
            "address_2": "SUITE 112",
            "city": "PLACENTIA",
            "state": "CA",
            "postal_code": "928703941",
            "telephone_number": "714-792-1199",
            "fax_number": "714-792-1196"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARSHBURN",
        "first_name": "JOHN",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-31",
        "last_updated": "2007-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "A60789",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "A60789",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Placentia, CA

Sources for this page

Verify at the official NPI Registry.