Organization Active NPI

Yvette Marquez MD, Inc

  • Neurological Surgery Physician
  • Rancho Cucamonga, CA
National Provider Identifier
1316794894
Registry record updated May 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
Legal business name
YVETTE MARQUEZ MD, INC
Practice address
9120 Haven Ave
Rancho Cucamonga, CA 91730-5413
Phone
(909) 881-6713
NPI assigned
May 2, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 2, 2024

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

Authorized official

Name
Dr. Yvette D Marquez, MDNPI 1255640892
Title
Neurosurgeon
Phone
(626) 644-1476

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207T00000X Primary

Addresses

Primary practice location

9120 Haven Ave
Rancho Cucamonga, CA 91730-5413

Mailing address

1099 Pine Oak LN
Pasadena, CA 91105-1138
Phone (626) 644-1476

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20241018000773 CA Part B Supplier - Clinic/Group Practice 9335671064 Receives reassigned benefits from 1 practitioner
Practice locations: Rancho Cucamonga, CA

National Provider Directory

National Provider Directory

Locations

600 Lincoln Ave
Unit 92028
Pasadena, CA 91109

9120 Haven Ave
Rancho Cucamonga, CA 91730
Phone (909) 881-6713

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1714608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714608000000",
    "number": "1316794894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1099 PINE OAK LN",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911051138",
            "telephone_number": "626-644-1476"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9120 HAVEN AVE",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917305413",
            "telephone_number": "909-881-6713"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YVETTE MARQUEZ MD, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-02",
        "last_updated": "2024-05-02",
        "certification_date": "2024-05-02",
        "status": "A",
        "authorized_official_last_name": "MARQUEZ",
        "authorized_official_first_name": "YVETTE",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "NEUROSURGEON",
        "authorized_official_telephone_number": "626-644-1476",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Neurological Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rancho Cucamonga, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.