Lester Antonio Marlin

Primary specialty

Rehabilitation PractitionerTaxonomy code 225400000X

Practice address

20325 Sherman Way
Apt44
Winnetka, CA 91306

Phone

(313) 463-9121

NPI assigned

Sep 17, 2015

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1442448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1442448000000",
    "number": "1558730770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20325 SHERMAN WAY",
            "address_2": "APT.44",
            "city": "WINNETKA",
            "state": "CA",
            "postal_code": "913063161",
            "telephone_number": "313-463-9121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20325 SHERMAN WAY",
            "address_2": "APT44",
            "city": "WINNETKA",
            "state": "CA",
            "postal_code": "91306",
            "telephone_number": "313-463-9121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARLIN",
        "first_name": "LESTER",
        "middle_name": "ANTONIO",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-09-17",
        "last_updated": "2015-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225400000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Practitioner",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eric Jason Maize
• Damir R Malikov, L.AC., M.S.O.M.
• Katherine Escarleth Manzano
• Maple Moon Recovery
• Najah Marino, BSN, RN
• Jesse James Massarella
• Mastery Behavior Solutions LLC
• Maxi Care RX
• Denise Juliette Mayorga
• Nigel McCallum, PHARMD

• Rehabilitation Practitioner in Winnetka, CA
• Providers in Winnetka, CA by specialty
• Rehabilitation Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2015; 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.