Individual provider Active NPI

Jon Kevin Marsh, M.D.

  • Gastroenterology Physician
  • Yuba City, CA
National Provider Identifier
1467468090
Registry record updated Dec 16, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
20A6309 Issued in CA
Practice address
870 Shasta St
Suite 100
Yuba City, CA 95991-4152
Phone
(530) 671-3671
Fax
(530) 671-3980
NPI assigned
Aug 1, 2006
Last updated
Dec 16, 2010By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 16, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ph.D. Medical Genetics 170100000X 20A6309 CA
Gastroenterology Physician 207RG0100X 20A6309 CA Primary

Addresses

Primary practice location

870 Shasta St
Suite 100
Yuba City, CA 95991-4152

Mailing address

870 Shasta St
Suite 100
Yuba City, CA 95991-4152
Phone (530) 671-3671

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
Credentials
Doctor of Osteopathy, Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
20A6309CAMDPh.D. Medical Genetics

Practice roles

OrganizationSpecialtyStatusNew patients
North Valley Gastroenterology Medical Group, Inc Gastroenterology PastSince Mar 31, 2016 Accepting new patients
The Endoscopy Center, Inc. PastSince Mar 27, 2016 Accepting new patients
The Endoscopy Center PastSince Aug 14, 2012 Accepting new patients

Organizations & group practices 3

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": "1154390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1292457600000",
    "number": "1467468090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "870 SHASTA ST",
            "address_2": "SUITE 100",
            "city": "YUBA CITY",
            "state": "CA",
            "postal_code": "959914152",
            "telephone_number": "530-671-3671",
            "fax_number": "530-671-3980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "870 SHASTA ST",
            "address_2": "SUITE 100",
            "city": "YUBA CITY",
            "state": "CA",
            "postal_code": "959914152",
            "telephone_number": "530-671-3671",
            "fax_number": "530-671-3980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARSH",
        "first_name": "JON",
        "middle_name": "KEVIN",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-01",
        "last_updated": "2010-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "170100000X",
            "taxonomy_group": "",
            "desc": "Medical Genetics, Ph.D. Medical Genetics",
            "state": "CA",
            "license": "20A6309",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "CA",
            "license": "20A6309",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yuba City, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2010; 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.