Active NPI
Ivan Marquez, MD
- Pediatrics Physician
- Salinas, CA
National Provider Identifier
1316407786
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 179894
- Practice address
- 1441 Constitution Blvd
Salinas, CA 93906-3100 - Phone
- (831) 755-4124
- NPI assigned
- Mar 22, 2019
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 179894 | CA | Primary |
Addresses
Primary practice location
1441 Constitution Blvd
Salinas, CA 93906-3100
Mailing address
122 N 3Rd St
Salinas, CA 93906-3240
Phone (630) 544-4997
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: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230602002674 | CA | Order and Referring Only - Pediatric Medicine | 7315304540 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 179894 | CA | MD | Pediatrics Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1553212800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1657411200000",
"number": "1316407786",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "122 N 3RD ST",
"city": "SALINAS",
"state": "CA",
"postal_code": "939063240",
"telephone_number": "630-544-4997"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1441 CONSTITUTION BLVD",
"city": "SALINAS",
"state": "CA",
"postal_code": "939063100",
"telephone_number": "831-755-4124"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARQUEZ",
"first_name": "IVAN",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-03-22",
"last_updated": "2022-07-10",
"certification_date": "2022-07-10",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "CA",
"license": "179894",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Salinas, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.