Marwan Zoghbi MD Inc

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

A142501 Issued in CA

Legal business name

MARWAN ZOGHBI MD INC

Practice address

3622 W Packwood Ave
Visalia, CA 93277-5010

Phone

(559) 382-3820

Fax

(559) 224-1012

NPI assigned

Oct 10, 2017

Organization subpart

No

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

Authorized official

Name

Dr. Marwan B Zoghbi, MDNPI 1598197998

Title

Ceo

Phone

(559) 699-1739

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Marwan Zoghbi, MD

  • Family Medicine Physician
  • Visalia, CA
  • NPI 1598197998
  Medicare reassignment Care Compare group NPD Authorized official
• Mirella Younes, MD

  • Family Medicine Physician
  • Visalia, CA
  • NPI 1164718896
  Medicare reassignment Care Compare group NPD
• Shun Di Shirley Tong-Antolin, FNP

  • Family Nurse Practitioner
  • Visalia, CA
  • NPI 1316651268
  Medicare reassignment NPD

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

{
    "created_epoch": "1507593600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706832000000",
    "number": "1508376013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3632 W PACKWOOD AVE",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "932775033",
            "telephone_number": "559-734-6701",
            "fax_number": "559-732-3211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3622 W PACKWOOD AVE",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "932775010",
            "telephone_number": "559-382-3820",
            "fax_number": "559-224-1012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARWAN ZOGHBI MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-10",
        "last_updated": "2024-02-02",
        "certification_date": "2024-02-02",
        "status": "A",
        "authorized_official_last_name": "ZOGHBI",
        "authorized_official_first_name": "MARWAN",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "559-699-1739",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "CA",
            "license": "A142501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Roger Martinez
• Stephania Hatch Martinez
• Vanessa Martinez Martinez
• Yecenia Martinez, LVN
• Korinna Martins, CNM, WHNP-BC
• Mary Hayes
• Elizabeth Lydia Mason, LMFT
• Faran Masoudi
• Darcy Patrice Massey, LCSW
• Stephanie Flores Matern I

• Primary Care Clinic/Center in Visalia, CA
• Providers in Visalia, CA by specialty
• Primary Care Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.