Theodore F Marshburn, M.D.

Primary specialty

SpecialistTaxonomy code 174400000X

License

G4083 Issued in CA

Practice address

15925 E Whittier Blvd
Whittier, CA 90603-2524

Phone

(562) 947-1318

Fax

(562) 947-4785

NPI assigned

Oct 2, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1467546937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15925 E WHITTIER BLVD",
            "city": "WHITTIER",
            "state": "CA",
            "postal_code": "906032524",
            "telephone_number": "562-947-1318",
            "fax_number": "562-947-4785"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15925 E WHITTIER BLVD",
            "city": "WHITTIER",
            "state": "CA",
            "postal_code": "906032524",
            "telephone_number": "562-947-1318",
            "fax_number": "562-947-4785"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARSHBURN",
        "first_name": "THEODORE",
        "middle_name": "F",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "G4083",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G40830",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Carolina Patricia Marroquin
• Jennifer Irene Marroquin
• Marsden Shoe Co
• Marshburn Eye Center Incorporated
• David E. Marshburn, D.O.
• Audra J Martin, M.S., LMFT, PPSC
• Erica Ludealy Martin
• Lynn Michele Martin
• Michael L Martin, MD
• Alexandra Martindale, OTR/L

• Specialist in Whittier, CA
• Providers in Whittier, CA by specialty
• Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.