Active NPI
Krystovia Eveth Marquez
- Social Worker
- San Jose, CA
National Provider Identifier
1417515644
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 127968
- Practice address
- 2 N Market St Ste 300
San Jose, CA 95113-1211 - Phone
- (510) 210-3233
- NPI assigned
- Jun 3, 2019
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Social Worker | 104100000X | 127968 | CA | Primary |
Addresses
Primary practice location
2 N Market St Ste 300
San Jose, CA 95113-1211
Mailing address
2 N Market St Ste 300
San Jose, CA 95113-1211
Phone (510) 210-3233
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689714198 | Other | CA | MEDICAL |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 127968 | CA | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1559520000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1736812800000",
"number": "1417515644",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2 N MARKET ST STE 300",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951131211",
"telephone_number": "510-210-3233"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2 N MARKET ST STE 300",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951131211",
"telephone_number": "510-210-3233"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARQUEZ",
"first_name": "KRYSTOVIA",
"middle_name": "EVETH",
"name_prefix": "Mrs.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-06-03",
"last_updated": "2025-01-14",
"certification_date": "2025-01-14",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "CA",
"license": "127968",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL",
"identifier": "1689714198",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in San Jose, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.