Individual provider Active NPI

Marion Beth Mazzola, MD

  • Family Medicine Physician
  • Arvada, CO
National Provider Identifier
1366474041
Registry record updated Nov 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
DR.0042162 Issued in CO
Practice address
5511 W 56TH Ave
Arvada, CO 80002-2807
Phone
(303) 828-7473
Fax
(303) 997-6971
NPI assigned
Jul 6, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X DR.0042162 CO Primary

Addresses

Primary practice location

5511 W 56TH Ave
Arvada, CO 80002-2807

Mailing address

5511 W 56TH Ave Unit 100
Arvada, CO 80002-2807
Phone (303) 828-7473

Other identifiers 1

IdentifierTypeStateIssuer
58200363MedicaidCO

Other names 1

  • Beth Mazzola Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Clinica Campesina Family Health Services CurrentSince Feb 15, 2016 Accepting new patients
Clinica Campesina Family Health Services Current Accepting new patients
Pagosa Springs Family Medicine Center PC Specialist Past Accepting new patients
Pagosa Springs Family Medical Center Specialist Past Accepting new patients

Locations

2525 13th St
Boulder, CO 80304
Phone (303) 449-6050

1735 S Public Rd
Lafayette, CO 80026
Phone 30366530361061

1345 Plaza Ct N
Ste 1A
Lafayette, CO 80026
Phone (303) 665-2962

1735 S Public Rd
Ste 203
Lafayette, CO 80026

8990 Washington St
Thornton, CO 80229
Phone (720) 929-1655

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/7771e67c-eed3-4c07-8b39-4ee1de7dfb76/

Organizations & group practices 4

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": "1152144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763510400000",
    "number": "1366474041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5511 W 56TH AVE UNIT 100",
            "city": "ARVADA",
            "state": "CO",
            "postal_code": "800022807",
            "telephone_number": "303-828-7473",
            "fax_number": "303-997-6971"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5511 W 56TH AVE",
            "city": "ARVADA",
            "state": "CO",
            "postal_code": "800022807",
            "telephone_number": "303-828-7473",
            "fax_number": "303-997-6971"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAZZOLA",
        "first_name": "MARION",
        "middle_name": "BETH",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-06",
        "last_updated": "2025-11-19",
        "certification_date": "2025-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CO",
            "license": "DR.0042162",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "58200363",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BETH",
            "last_name": "MAZZOLA",
            "credential": "MD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Arvada, CO

Sources for this page

Verify at the official NPI Registry.