Individual provider Active NPI

Andrea Scarlet Marquez

  • Certified Registered Nurse Anesthetist
  • Colton, CA
National Provider Identifier
1407566748
Registry record updated Oct 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
95002064 Issued in CA
Practice address
400 N Pepper Ave
Colton, CA 92324-1801
Phone
(877) 873-2762
NPI assigned
Nov 28, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 3, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 95002064 CA Primary
Critical Care Medicine Registered Nurse 163WC0200X 35041108 CA

Addresses

Primary practice location

400 N Pepper Ave
Colton, CA 92324-1801

Mailing address

5875 Olive Ave
Rialto, CA 92377-3963
Phone (909) 239-1118

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230525001332 CA Practitioner - Certified Registered Nurse Anesthetist (Crna) 8729444260 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2022
Medicare assignment
May accept Medicare assignment
Group practices
Raelle Anesthesia IncGroup PAC ID 8123260874, 11 clinicians
Inland Empire Anesthesia Medical Group, IncGroup PAC ID 1052310331, 38 clinicians
Allied Anesthesia Medical Group IncGroup PAC ID 6103728407, 185 clinicians

Practice addresses (Care Compare)

16030 Kamana Rd
Apple Valley, CA 92307-1335
Phone (760) 946-0618

400 N Pepper Ave
Colton, CA 92324-1801
Phone (909) 580-2440

455 S Main St
Orange, CA 92868-3835
Phone (714) 532-8406

Hospital & facility affiliations

  • Arrowhead Regional Medical Center Hospital, Colton, CA, CCN 050245

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
35041108CAMDCritical Care Medicine Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Bairos Nursing Anesthesia,Inc Nurse Anesthetist, Certified Registered CurrentSince Aug 20, 2024 Accepting new patients
Inland Empire Anesthesia Medical Group, Inc CurrentSince May 1, 2023 Accepting new patients
Raelle Anesthesia Inc Nurse Anesthetist, Certified Registered CurrentSince Oct 1, 2025 Accepting new patients
Liberty Anesthesia Consultants LLC CurrentSince Feb 19, 2024 Accepting new patients
Glendora Anesthesia Associates LP Nurse Anesthetist, Certified Registered CurrentSince Mar 28, 2024 Accepting new patients
Golden Springs Surgical Center CurrentSince Oct 1, 2025 Accepting new patients
Allied Anesthesia Medical Group Inc CurrentSince Apr 1, 2024 Accepting new patients

Locations

16030 Kamana Rd
Apple Valley, CA 92307
Phone (760) 617-7718

1900 E Washington St
Colton, CA 92324
Phone (909) 825-3425

400 N Pepper Ave
Colton, CA 92324
Phone (909) 580-1800

900 E Washington St
Ste 155
Colton, CA 92324
Phone (909) 370-2190

400 N Pepper Ave
Fl 2
Colton, CA 92324
Phone (909) 580-2440

1124 S Main St
Ste 101
Corona, CA 92882
Phone (951) 737-6363

1794 S Barranca Ave
Glendora, CA 91740
Phone (626) 858-4600

5 Holland
Ste 101
Irvine, CA 92618
Phone (949) 588-2199

455 S Main St
Orange, CA 92868
Phone (714) 289-4511

255 E Bonita Ave
Pomona, CA 91767
Phone (866) 724-4127

10694 Magnolia Ave
Riverside, CA 92505
Phone (951) 335-5250

1003 E Brier Dr
Ste 170
Sn Bernrdno, CA 92408
Phone (909) 370-2190

41900 Winchester Rd
Ste 102
Temecula, CA 92590
Phone (951) 461-6502

999 San Bernardino Rd
Upland, CA 91786
Phone (909) 920-4841

Organizations & group practices 8

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.

Hospital & facility affiliations 1

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": "1669593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696291200000",
    "number": "1407566748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5875 OLIVE AVE",
            "city": "RIALTO",
            "state": "CA",
            "postal_code": "923773963",
            "telephone_number": "909-239-1118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 N PEPPER AVE",
            "city": "COLTON",
            "state": "CA",
            "postal_code": "923241801",
            "telephone_number": "877-873-2762"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARQUEZ",
        "first_name": "ANDREA",
        "middle_name": "SCARLET",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-11-28",
        "last_updated": "2023-10-03",
        "certification_date": "2023-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "CA",
            "license": "95002064",
            "primary": true
        },
        {
            "code": "163WC0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Critical Care Medicine",
            "state": "CA",
            "license": "35041108",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colton, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.