Organization Active NPI

Natasha D. Marshall, DPM, Podiatry Corporation

  • Foot & Ankle Surgery Podiatrist
  • Brea, CA
National Provider Identifier
1497080980
Registry record updated Jul 12, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
E4830 Issued in CA
Legal business name
NATASHA D. MARSHALL, DPM, PODIATRY CORPORATION
Practice address
410 W Central Ave
Suite 204
Brea, CA 92821-3014
Phone
(714) 990-4422
Fax
(714) 990-2855
NPI assigned
Oct 16, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2012

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

Authorized official

Name
Dr. Natasha Marshall, DPM
Title
President/Ceo
Phone
(714) 990-4422

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery PodiatristGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 213ES0103X E4830 CA Primary
Foot Surgery PodiatristGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 213ES0131X E4830 CA

Addresses

Primary practice location

410 W Central Ave
Suite 204
Brea, CA 92821-3014

Mailing address

410 W Central Ave
Suite 204
Brea, CA 92821-3014
Phone (714) 990-4422

National Provider Directory

National Provider Directory

Locations

1212 N Park Ave
Pomona, CA 91768
Phone (909) 622-4501

NPI Registry JSON

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

{
    "created_epoch": "1255651200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1342051200000",
    "number": "1497080980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "410 W CENTRAL AVE",
            "address_2": "SUITE 204",
            "city": "BREA",
            "state": "CA",
            "postal_code": "928213014",
            "telephone_number": "714-990-4422",
            "fax_number": "714-990-2855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 W CENTRAL AVE",
            "address_2": "SUITE 204",
            "city": "BREA",
            "state": "CA",
            "postal_code": "928213014",
            "telephone_number": "714-990-4422",
            "fax_number": "714-990-2855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NATASHA D. MARSHALL, DPM, PODIATRY CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-16",
        "last_updated": "2012-07-12",
        "status": "A",
        "authorized_official_last_name": "MARSHALL",
        "authorized_official_first_name": "NATASHA",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "714-990-4422",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "CA",
            "license": "E4830",
            "primary": true
        },
        {
            "code": "213ES0131X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Podiatrist, Foot Surgery",
            "state": "CA",
            "license": "E4830",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brea, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2012; 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.