Individual provider Active NPI

Patricia F Marquez, MD

  • Internal Medicine Physician
  • Azusa, CA
National Provider Identifier
1336109453
Registry record updated May 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A62251 Issued in CA
Practice address
121 E Tenth St
Azusa, CA 91702-2445
Phone
(626) 347-5214
Fax
(626) 633-3877
NPI assigned
Mar 24, 2006
Last updated
May 3, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 3, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A62251 CA Primary

Addresses

Primary practice location

121 E Tenth St
Azusa, CA 91702-2445

Mailing address

121 E Tenth St
Azusa, CA 91702-2445
Phone (626) 347-5214

Other identifiers 1

IdentifierTypeStateIssuer
1336109453MedicaidCA

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050126000566 CA Practitioner - Internal MedicinePractitioner - Pediatric Medicine 6002866159 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of California, Geffen School of Medicine, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

121 E 10TH St
Azusa, CA 91702-2445
Phone (626) 347-5214

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A62251CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Health-Eu, Integrative Medicine, a Professional Medical Corporation CurrentSince Apr 13, 2019 Accepting new patients

Locations

121 E 10th St
Azusa, CA 91702
Phone (626) 347-5214

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: patricia.marquez.p1@direct.jwch.nextgenshare.com

Organizations & group practices 1

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

Hospital & facility affiliations 3

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": "1143158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683072000000",
    "number": "1336109453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 E TENTH ST",
            "city": "AZUSA",
            "state": "CA",
            "postal_code": "917022445",
            "telephone_number": "626-347-5214",
            "fax_number": "626-633-3877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 E TENTH ST",
            "city": "AZUSA",
            "state": "CA",
            "postal_code": "917022445",
            "telephone_number": "626-347-5214",
            "fax_number": "626-633-3877"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARQUEZ",
        "first_name": "PATRICIA",
        "middle_name": "F",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-03-24",
        "last_updated": "2023-05-03",
        "certification_date": "2023-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A62251",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1336109453",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Azusa, CA

Sources for this page

Verify at the official NPI Registry.