Marc Verzosa

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

6 S El Dorado St Ste 510
Stockton, CA 95202-2804

Phone

(209) 623-1411

NPI assigned

Feb 28, 2018

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1519776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618358400000",
    "number": "1306347927",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 S EL DORADO ST STE 510",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952022804",
            "telephone_number": "209-623-1411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 S EL DORADO ST STE 510",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952022804",
            "telephone_number": "209-623-1411"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2291 W March Ln",
            "address_purpose": "LOCATION",
            "city": "Stockton",
            "state": "CA",
            "postal_code": "952076652",
            "country_code": "US",
            "telephone_number": "916-729-3098",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VERZOSA",
        "first_name": "MARC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-02-28",
        "last_updated": "2021-04-14",
        "certification_date": "2021-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Antonio Verduzco, PHARMD.
• Katherine Anne Verhoeven, PT
• Atul Verma, M.D.
• Shefali Verma, DO
• Maria Versaci
• Samuel V Vescera, MD
• Arnold Vial
• Shauntrell Sheri Vickers
• Victor Community Support Services, Inc.
• Victor Y. Ho, O.D. a Professional Corporation

• Case Manager/Care Coordinator in Stockton, CA
• Providers in Stockton, CA by specialty
• Case Manager/Care Coordinator in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2021; 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.