Active NPI
Markus McKenzie
- Sonography Radiologic Technologist
- Rancho Cordova, CA
National Provider Identifier
1427419753
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sonography Radiologic Technologist
- License
- 495695
- Practice address
- 10535 Hospital Way
Rancho Cordova, CA 95655-4200 - Phone
- (916) 843-7000
- NPI assigned
- Mar 15, 2016
- Last updated
- Mar 15, 2016
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Sonography Radiologic Technologist | 2471S1302X | 495695 | AZ | Primary |
Addresses
Primary practice location
10535 Hospital Way
Rancho Cordova, CA 95655-4200
Mailing address
10535 Hospital Way
Rancho Cordova, CA 95655-4200
Phone (916) 843-7000
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 |
|---|---|---|---|
| 495695 | AZ | MD | Sonography Radiologic Technologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1458000000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1458000000000",
"number": "1427419753",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10535 HOSPITAL WAY",
"city": "RANCHO CORDOVA",
"state": "CA",
"postal_code": "956554200",
"telephone_number": "916-843-7000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10535 HOSPITAL WAY",
"city": "RANCHO CORDOVA",
"state": "CA",
"postal_code": "956554200",
"telephone_number": "916-843-7000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCKENZIE",
"first_name": "MARKUS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-03-15",
"last_updated": "2016-03-15",
"status": "A"
},
"taxonomies": [
{
"code": "2471S1302X",
"taxonomy_group": "",
"desc": "Radiologic Technologist, Sonography",
"state": "AZ",
"license": "495695",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rancho Cordova, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.