Organization Active NPI

Sidney M Marchasin MD Inc

  • Preferred Provider Organization
  • Redwood City, CA
National Provider Identifier
1285915082
Registry record updated Sep 7, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Preferred Provider OrganizationTaxonomy code 305R00000X
License
A19161 Issued in CA
Legal business name
SIDNEY M MARCHASIN MD INC
Practice address
39 Birch St
Suite C
Redwood City, CA 94062-1482
Phone
(650) 363-8352
Fax
(650) 363-8438
NPI assigned
Sep 7, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2011

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

Authorized official

Name
Dr. Sidney M Marchasin, M.D
Title
Medical Doctor
Phone
(650) 363-8352

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Preferred Provider Organization 305R00000X A19161 CA Primary

Addresses

Primary practice location

39 Birch St
Suite C
Redwood City, CA 94062-1482

Mailing address

39 Birch St
Suite C
Redwood City, CA 94062
Phone (650) 363-8352

National Provider Directory

National Provider Directory

Locations

39 Birch St
Ste C
Redwood City, CA 94062
Phone (650) 363-8352

1313 Laurel St
Ste 109
San Carlos, CA 94070
Phone (650) 363-8352

NPI Registry JSON

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

{
    "created_epoch": "1315353600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1315353600000",
    "number": "1285915082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39 BIRCH ST",
            "address_2": "SUITE C",
            "city": "REDWOOD CITY",
            "state": "CA",
            "postal_code": "94062",
            "telephone_number": "650-363-8352",
            "fax_number": "650-363-8438"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39 BIRCH ST",
            "address_2": "SUITE C",
            "city": "REDWOOD CITY",
            "state": "CA",
            "postal_code": "940621482",
            "telephone_number": "650-363-8352",
            "fax_number": "650-363-8438"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIDNEY M MARCHASIN MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-07",
        "last_updated": "2011-09-07",
        "status": "A",
        "authorized_official_last_name": "MARCHASIN",
        "authorized_official_first_name": "SIDNEY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "MEDICAL DOCTOR",
        "authorized_official_telephone_number": "650-363-8352",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "CA",
            "license": "A19161",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Redwood City, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2011; 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.