Robert J Marriott Medical Corp

Primary specialty

Vascular Surgery PhysicianTaxonomy code 2086S0129X

Legal business name

ROBERT J MARRIOTT MEDICAL CORP

Practice address

5475 E la Palma Ave
Suite 204
Anaheim, CA 92807-2075

Phone

(310) 524-1320

Fax

(310) 706-4212

NPI assigned

Oct 10, 2013

Organization subpart

No

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

Authorized official

Name

Robert J Marriott, MD

Title

Ceo

Phone

(310) 524-1320

Specialties & licenses 1

Addresses

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jack M. Bergstein, M.D.

  • Surgery Physician
  • Marysville, WA
  • NPI 1154366300
  NPD (past)
• Carlos Kugler, MD

  • Orthopaedic Surgery Physician
  • Tomball, TX
  • NPI 1073624920
  NPD (past)
• Monica Ann Rocco, MD

  • Surgery Physician
  • Georgetown, TX
  • NPI 1285766493
  NPD (past)

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

{
    "created_epoch": "1381363200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1424736000000",
    "number": "1245667013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 N SEPULVEDA BLVD",
            "address_2": "SUITE 2175",
            "city": "EL SEGUNDO",
            "state": "CA",
            "postal_code": "902455639",
            "telephone_number": "310-524-1320",
            "fax_number": "310-706-4212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5475 E LA PALMA AVE",
            "address_2": "SUITE 204",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928072075",
            "telephone_number": "310-524-1320",
            "fax_number": "310-706-4212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT J MARRIOTT MEDICAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-10",
        "last_updated": "2015-02-24",
        "status": "A",
        "authorized_official_last_name": "MARRIOTT",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "310-524-1320",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery, Vascular Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alyssa Robbins
• Patrick T Robbins, BS-SOCIOLOGY
• Kenya Roberson
• Robert a St. Thomas M.D., Inc
• Robert E. Berger D.D.S., Corporation
• Robert Y. Go, DDS, Inc.
• Diane Weil Roberts, PPS
• Kierra Maxine Roberts
• Kirk Stephen Roberts, OD
• Shanell Roberts

• Vascular Surgery Physician in Anaheim, CA
• Providers in Anaheim, CA by specialty
• Vascular Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2015; 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.