Active NPI
Carmen May Marcadis, D.C.
- Nutrition Chiropractor
- Middletown, CA
National Provider Identifier
1275749871
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nutrition Chiropractor
- License
- DC 24940
- Practice address
- 11984 Loch Lomond Rd
Middletown, CA 95461-9542 - Phone
- (707) 279-0200
- Fax
- (707) 987-6344
- NPI assigned
- May 14, 2007
- Last updated
- Jul 8, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Nutrition Chiropractor | 111NN1001X | DC 24940 | CA | Primary |
Addresses
Primary practice location
11984 Loch Lomond Rd
Middletown, CA 95461-9542
Mailing address
11984 Loch Lomond Rd
Middletown, CA 95461-9542
Phone (707) 279-0200
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DC 24940 | CA | MD | Nutrition Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179100800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1275749871",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11984 LOCH LOMOND RD",
"city": "MIDDLETOWN",
"state": "CA",
"postal_code": "954619542",
"telephone_number": "707-279-0200",
"fax_number": "707-987-6344"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11984 LOCH LOMOND RD",
"city": "MIDDLETOWN",
"state": "CA",
"postal_code": "954619542",
"telephone_number": "707-279-0200",
"fax_number": "707-987-6344"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARCADIS",
"first_name": "CARMEN",
"middle_name": "MAY",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-05-14",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111NN1001X",
"taxonomy_group": "",
"desc": "Chiropractor, Nutrition",
"state": "CA",
"license": "DC 24940",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Middletown, CA
- Lake County Office of Education
- Lake County Office of Education
- Lake County Office of Education
- Lake County Office of Education
- Lake County Tribal Health Middletown Clinic
- Middletown Elementary School
- Elizabeth Montgomery, MFT
- Kate Newman, CAADAC
- Paul Howard Nielsen, DDS
- Hendrika Maria Nouwen, R.N., C.M.T.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.