Active NPI
Marianne C Katz, NP
- Nurse Practitioner
- La Mesa, CA
National Provider Identifier
1497803431
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- NP3818
- Practice address
- 6942 University Ave Ste a
La Mesa, CA 91942 - Phone
- (619) 698-2184
- Fax
- (619) 698-2084
- NPI assigned
- Jan 8, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | NP3818 | CA | Primary |
| Family Medicine Physician | 207Q00000X | 336904 | CA |
Addresses
Primary practice location
6942 University Ave Ste a
La Mesa, CA 91942
Mailing address
6942 University Ave Ste a
La Mesa, CA 91942-5963
Phone (619) 698-2184
Other practice location 1
4647 Zion Ave
San Diego, CA 92120-2507
Phone (619) 528-5000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497803431 | Medicaid | CA |
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
- Nurse Practitioner
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168214400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1548201600000",
"number": "1497803431",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6942 UNIVERSITY AVE STE A",
"city": "LA MESA",
"state": "CA",
"postal_code": "919425963",
"telephone_number": "619-698-2184",
"fax_number": "619-698-2084"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6942 UNIVERSITY AVE STE A",
"city": "LA MESA",
"state": "CA",
"postal_code": "91942",
"telephone_number": "619-698-2184",
"fax_number": "619-698-2084"
}
],
"practiceLocations": [
{
"address_1": "4647 Zion Ave",
"address_purpose": "LOCATION",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921202507",
"country_code": "US",
"telephone_number": "619-528-5000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KATZ",
"first_name": "MARIANNE",
"middle_name": "C",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-08",
"last_updated": "2019-01-23",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "CA",
"license": "NP3818",
"primary": true
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CA",
"license": "336904",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1497803431",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in La Mesa, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.