Active NPI
Gloria Marroquin
- Community Health Worker
- Anaheim, CA
National Provider Identifier
1336463942
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Health Worker
- Practice address
- 341 E Center St
Anaheim, CA 92805-3263 - Phone
- (714) 399-1860
- Fax
- (714) 399-1867
- NPI assigned
- Mar 25, 2010
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Community Health Worker | 172V00000X | Primary |
Addresses
Primary practice location
341 E Center St
Anaheim, CA 92805-3263
Mailing address
341 E Center St
Anaheim, CA 92805-3263
Phone (714) 399-1860
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Family Preservation Community Services | Past | Accepting new patients |
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 and National Provider Directory roles.
-
dba CYS Family Preservation Community Services Wraparound
- Community/Behavioral Health Agency
- Santa Ana, CA
- NPI 1609075993
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1269475200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1269475200000",
"number": "1336463942",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "341 E CENTER ST",
"city": "ANAHEIM",
"state": "CA",
"postal_code": "928053263",
"telephone_number": "714-399-1860",
"fax_number": "714-399-1867"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "341 E CENTER ST",
"city": "ANAHEIM",
"state": "CA",
"postal_code": "928053263",
"telephone_number": "714-399-1860",
"fax_number": "714-399-1867"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARROQUIN",
"first_name": "GLORIA",
"name_prefix": "Mrs.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-03-25",
"last_updated": "2010-03-25",
"status": "A"
},
"taxonomies": [
{
"code": "172V00000X",
"taxonomy_group": "",
"desc": "Community Health Worker",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Anaheim, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.