Individual provider Active NPI

Deannah Douglas-Marshall

  • Durable Medical Equipment & Medical Supplies
  • Los Angeles, CA
National Provider Identifier
1447031083
Registry record updated Oct 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Practice address
4822 S Western Ave
Los Angeles, CA 90062-2324
Phone
(562) 688-4994
NPI assigned
Oct 10, 2023
Last updated
Oct 10, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 10, 2023

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

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X
Durable Medical Equipment & Medical Supplies 332B00000X Primary
Non-emergency Medical Transport (VAN) 343900000X
Private Vehicle 347C00000X
Licensed Vocational Nurse 164X00000X 711368 CA
Certified Respiratory Therapist 227800000X E2438910 CA
In Home Supportive Care Agency 253Z00000X

Addresses

Primary practice location

4822 S Western Ave
Los Angeles, CA 90062-2324

Mailing address

5250 W Century Blvd Ste 206
Los Angeles, CA 90045-5946

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

LicenseStateTypeSpecialty
711368CAMDLicensed Vocational Nurse
E2438910CAMDCertified Respiratory Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Lemar Marshall Trust Licensed Vocational Nurse CurrentSince Oct 15, 2023 Accepting new patients

Locations

5250 W Century Blvd
Ste 206
Los Angeles, CA 90045
Phone (562) 955-8683

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1696896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696896000000",
    "number": "1447031083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5250 W CENTURY BLVD STE 206",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900455946"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4822 S WESTERN AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900622324",
            "telephone_number": "562-688-4994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOUGLAS-MARSHALL",
        "first_name": "DEANNAH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-10-10",
        "last_updated": "2023-10-10",
        "certification_date": "2023-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "347C00000X",
            "taxonomy_group": "",
            "desc": "Private Vehicle",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "164X00000X",
            "taxonomy_group": "",
            "desc": "Licensed Vocational Nurse",
            "state": "CA",
            "license": "711368",
            "primary": false
        },
        {
            "code": "227800000X",
            "taxonomy_group": "",
            "desc": "Respiratory Therapist, Certified",
            "state": "CA",
            "license": "E2438910",
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.