Individual provider Active NPI

Gail Ellen Marasse, DC, PHD

  • Nutrition Chiropractor
  • Ventura, CA
National Provider Identifier
1316159957
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nutrition ChiropractorTaxonomy code 111NN1001X
License
22066 Issued in CA
Practice address
132 S Evergreen Dr
Ventura, CA 93003-2609
Phone
(805) 641-0822
NPI assigned
May 4, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nutrition Chiropractor 111NN1001X 22066 CA Primary

Addresses

Primary practice location

132 S Evergreen Dr
Ventura, CA 93003-2609

Mailing address

2419 Harbor Blvd
134
Ventura, CA 93001-3904
Phone (805) 641-0822

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
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
22066CAMDNeonatal Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1178236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1316159957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2419 HARBOR BLVD",
            "address_2": "134",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930013904",
            "telephone_number": "805-641-0822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "132 S EVERGREEN DR",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930032609",
            "telephone_number": "805-641-0822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARASSE",
        "first_name": "GAIL",
        "middle_name": "ELLEN",
        "name_prefix": "Dr.",
        "credential": "DC, PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NN1001X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Nutrition",
            "state": "CA",
            "license": "22066",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ventura, CA

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.

Verify at the official NPI Registry.