Active NPI
Adam Marshall
- Student in an Organized Health Care Education/Training Program
- San Jose, CA
National Provider Identifier
1245699172
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- Practice address
- 3451 Cortese Cir
San Jose, CA 95127-5557 - Phone
- (408) 205-4082
- NPI assigned
- Feb 20, 2016
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | |||
| Student in an Organized Health Care Education/Training Program | 390200000X | Primary |
Addresses
Primary practice location
3451 Cortese Cir
San Jose, CA 95127-5557
Mailing address
3451 Cortese Cir
San Jose, CA 95127-5557
Phone (408) 205-4082
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1455926400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1455926400000",
"number": "1245699172",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3451 CORTESE CIR",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951275557",
"telephone_number": "408-205-4082"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3451 CORTESE CIR",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951275557",
"telephone_number": "408-205-4082"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARSHALL",
"first_name": "ADAM",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-02-20",
"last_updated": "2016-02-20",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": null,
"license": null,
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Jose, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.