Active NPI
Marland Faith Mariano Amante, P.T.
- Physical Therapist
- Chino, CA
National Provider Identifier
1366614463
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 36343
- Practice address
- 12421 Central Ave
Suites a & B
Chino, CA 91710-2664 - Phone
- (949) 375-8888
- NPI assigned
- Mar 28, 2008
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Contractor | 171W00000X | 070015143 | IL | |
| Physical Therapist | 225100000X | 36343 | CA | Primary |
Addresses
Primary practice location
12421 Central Ave
Suites a & B
Chino, CA 91710-2664
Mailing address
6510 Eucalyptus Ave
Chino, CA 91710-0101
Phone (949) 375-8888
Other names 1
- Marland Faith Kaguing Mariano
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 070015143 | IL | MD | Contractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1206662400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1389744000000",
"number": "1366614463",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6510 EUCALYPTUS AVE",
"city": "CHINO",
"state": "CA",
"postal_code": "917100101",
"telephone_number": "949-375-8888"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12421 CENTRAL AVE",
"address_2": "SUITES A & B",
"city": "CHINO",
"state": "CA",
"postal_code": "917102664",
"telephone_number": "949-375-8888"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AMANTE",
"first_name": "MARLAND FAITH",
"middle_name": "MARIANO",
"credential": "P.T.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-03-28",
"last_updated": "2014-01-15",
"status": "A"
},
"taxonomies": [
{
"code": "171W00000X",
"taxonomy_group": "",
"desc": "Contractor",
"state": "IL",
"license": "070015143",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "36343",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MARLAND FAITH",
"last_name": "MARIANO",
"middle_name": "KAGUING",
"credential": "P.T,",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Chino, CA
- Altek Drugs Inc. (Chinocare Pharmacy)
- Veronnica Alvarado
- Irene Guano Alvarez, PHARMD
- Mariana Alvarez, RDN
- Lubna Mohamed Alwi
- Harikrishna Ambati, MD
- Farah A Ameeri, D.O.
- American Current Care of California, a Medical Corporation (Concentra Urgent Care)
- American Current Care of California, a Medical Corporation (Concentra Urgent Care)
- Amity Hospice and Palliative Care, Inc.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.