Individual provider Active NPI

Marco Juarez, FNP BC

  • Family Nurse Practitioner
  • Santa Clarita, CA
National Provider Identifier
1295490209
Registry record updated Nov 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95019023 Issued in CA
Practice address
23942 Lyons Ave Ste 205
Santa Clarita, CA 91321-2427
Phone
(401) 663-1135
NPI assigned
Nov 4, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 95019023 CA Primary

Addresses

Primary practice location

23942 Lyons Ave Ste 205
Santa Clarita, CA 91321-2427

Mailing address

24892 Newhall Ave
Newhall, CA 91321-1505

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220126002323 CA Practitioner - Nurse Practitioner 6204125438 Reassigns benefits to 5 organizations
Practice locations: Santa Clarita, CA

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Beverly Hills Health IncGroup PAC ID 5092121251, 4 clinicians
Vip Nephrology IncGroup PAC ID 1153429402, 8 clinicians
Pranit Shrestha,M.D.,IncGroup PAC ID 0749635845, 2 clinicians

Practice addresses (Care Compare)

1209 Hemlock Way
Santa Ana, CA 92707-3609
Phone (714) 546-1966

13000 Victory Blvd
N Hollywood, CA 91606-2926
Phone (818) 985-5990

16530 S Broadway
Gardena, CA 90248-2714
Phone (917) 842-8361

18040 Sherman Way
Suite 210
Reseda, CA 91335-4656
Phone (424) 421-6001

2025 N Bush St
Santa Ana, CA 92706-2817
Phone (714) 541-3357

23801 Newhall Ave
Newhall, CA 91321-3126
Phone (818) 853-5760

3828 Delmas Ter
Culver City, CA 90232-2713
Phone (310) 836-7000

4096 Easy St
El Monte, CA 91731-1054
Phone (626) 442-1500

5335 Laurel Canyon Blvd
North Hollywood, CA 91607-2711
Phone (818) 985-1814

5522 Gracewood Ave
Arcadia, CA 91007-8409
Phone (626) 579-0310

6245 De Longpre Ave
Los Angeles, CA 90028-8253
Phone (323) 462-2271

708 E 5TH St
Holtville, CA 92250-1514
Phone (714) 905-6065

874 W Martin Luther King Jr Blvd
Los Angeles, CA 90037-1205
Phone (703) 505-8145

9200 W Pico Blvd
Los Angeles, CA 90035-1319
Phone (310) 274-9500

Hospital & facility affiliations

  • Pure Home Health Home health agency, Burbank, CA, CCN 559546
  • White Light Home Health Inc Home health agency, Glendale, CA, CCN 758147
  • Merrick HHC, Inc. Home health agency, Burbank, CA, CCN 757067
  • Southern California Hospital at Hollywood Hospital, Hollywood, CA, CCN 050135
  • Los Angeles Community Hospital Hospital, Los Angeles, CA, CCN 050663

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Healthcare at Reach PC Current Accepting new patients
Healthcare Alliance PC Current Accepting new patients
Vip Nephrology Inc CurrentSince May 25, 2022 Accepting new patients
Minghsun Liu, M.D., PC CurrentSince Oct 24, 2022 Accepting new patients
Beverly Hills Health Inc CurrentSince Jun 5, 2023 Accepting new patients

Locations

16133 Ventura Blvd
Ste 415
Encino, CA 91436
Phone (818) 506-3384

11103 Venice Blvd
Los Angeles, CA 90034
Phone (310) 734-8526

9200 W Pico Blvd
Los Angeles, CA 90035
Phone (310) 274-4626

18040 Sherman Way
Ste 210
Reseda, CA 91335
Phone (424) 421-6001

23942 Lyons Ave
Ste 205
Santa Clarita, CA 91321
Phone (310) 300-7606

200 S Park Rd
Ste 200
Hollywood, FL 33021
Phone (866) 986-2263

Interoperability endpoints

  • Direct secure messaging: marco.juarez@11618991538180.direct.elationemr.com

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1635984000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635984000000",
    "number": "1295490209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24892 NEWHALL AVE",
            "city": "NEWHALL",
            "state": "CA",
            "postal_code": "913211505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23942 LYONS AVE STE 205",
            "city": "SANTA CLARITA",
            "state": "CA",
            "postal_code": "913212427",
            "telephone_number": "401-663-1135"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JUAREZ",
        "first_name": "MARCO",
        "credential": "FNP BC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-11-04",
        "last_updated": "2021-11-04",
        "certification_date": "2021-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95019023",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Clarita, CA

Sources for this page

Verify at the official NPI Registry.