Marvin Gandia

Primary specialty

Emergency Registered NurseTaxonomy code 163WE0003X

License

RN210417 Issued in AZ

Practice address

Corner Route 7 and Route 12
Fort Defiance, AZ 86504

Phone

(928) 729-8600

NPI assigned

Nov 25, 2022

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1669334400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669334400000",
    "number": "1548970015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "811 S SIXTH ST",
            "city": "GALLUP",
            "state": "NM",
            "postal_code": "873015833",
            "telephone_number": "505-457-6780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CORNER ROUTE 7 AND ROUTE 12",
            "city": "FORT DEFIANCE",
            "state": "AZ",
            "postal_code": "86504",
            "telephone_number": "928-729-8600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GANDIA",
        "first_name": "MARVIN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-11-25",
        "last_updated": "2022-11-25",
        "certification_date": "2022-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WE0003X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Emergency",
            "state": "AZ",
            "license": "RN210417",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joellen Lindsay Friedman, PHARMD
• Sean Joseph Friel, RRT
• Mario Alberto Fuentes, RRT
• Alithea Dolores Gabrellas, MD
• Deborah Ann Gallo, PHARM.D.
• Tammie Garcia
• Betty Ann Garner, MA
• William J Garner, RRT
• John Arthur Garson, D.O.
• Edgardo Buenaflor Gatbonton Jr.

• Emergency Registered Nurse in Fort Defiance, AZ
• Providers in Fort Defiance, AZ by specialty
• Emergency Registered Nurse in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2022; 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.