Active NPI
Mark Anthony Marquez
- Addiction (Substance Use Disorder) Counselor
- Chula Vista, CA
National Provider Identifier
1255757316
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- Practice address
- 447 Berland Way
Chula Vista, CA 91910-6422 - Phone
- (619) 559-8276
- NPI assigned
- Mar 13, 2014
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | Primary |
Addresses
Primary practice location
447 Berland Way
Chula Vista, CA 91910-6422
Mailing address
447 Berland Way
Chulavista, CA 91910
Phone (619) 559-8276
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 13524 | Other | TEMPOARY NPI |
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": "1394668800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1394668800000",
"number": "1255757316",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "447 BERLAND WAY",
"city": "CHULAVISTA",
"state": "CA",
"postal_code": "91910",
"telephone_number": "619-559-8276"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "447 BERLAND WAY",
"city": "CHULA VISTA",
"state": "CA",
"postal_code": "919106422",
"telephone_number": "619-559-8276"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARQUEZ",
"first_name": "MARK",
"middle_name": "ANTHONY",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-03-13",
"last_updated": "2014-03-13",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TEMPOARY NPI",
"identifier": "13524",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Chula Vista, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.