Individual provider Active NPI

Elizabeth Marquez

  • Licensed Vocational Nurse
  • Modesto, CA
National Provider Identifier
1346947090
Registry record updated Feb 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Vocational NurseTaxonomy code 164X00000X
License
712687 Issued in CA
Practice address
1001 Needham St
Modesto, CA 95354-0730
Phone
(209) 569-0373
Fax
(209) 529-8519
NPI assigned
Feb 13, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Vocational Nurse 164X00000X 712687 CA Primary

Addresses

Primary practice location

1001 Needham St
Modesto, CA 95354-0730

Mailing address

1001 Needham St
Modesto, CA 95354-0730
Phone (209) 569-0373

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

State licenses

LicenseStateTypeSpecialty
712687CAMDLicensed Vocational Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Turning Point Community Programs CurrentSince Nov 30, 2025 Accepting new patients
County of Stanislaus PastSince Feb 19, 2023 Accepting new patients

Locations

1001 Needham St
Modesto, CA 95354
Phone (209) 544-1913

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1676246400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676246400000",
    "number": "1346947090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 NEEDHAM ST",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953540730",
            "telephone_number": "209-569-0373",
            "fax_number": "209-529-8519"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 NEEDHAM ST",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953540730",
            "telephone_number": "209-569-0373",
            "fax_number": "209-529-8519"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARQUEZ",
        "first_name": "ELIZABETH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-02-13",
        "last_updated": "2023-02-13",
        "certification_date": "2023-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164X00000X",
            "taxonomy_group": "",
            "desc": "Licensed Vocational Nurse",
            "state": "CA",
            "license": "712687",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Modesto, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2023; 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.