Bertrand a. Marcano, MD Inc

Primary specialty

Health Maintenance OrganizationTaxonomy code 302R00000X

License

A22276 Issued in CA

Legal business name

BERTRAND A. MARCANO, MD INC

Practice address

1700 E Cesar E Chavez Ave
Suite 3450
Los Angeles, CA 90033-2424

Phone

(323) 261-0259

Fax

(323) 261-0073

NPI assigned

Feb 3, 2012

Last updated

Feb 3, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Bertrand A Marcano, M.D

Title

Owner

Phone

(323) 261-0259

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1328227200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1328227200000",
    "number": "1568734655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 CESAR E CHAVEZ AVE",
            "address_2": "SUITE 3450",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "90033",
            "telephone_number": "323-261-0259",
            "fax_number": "323-261-0073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 E CESAR E CHAVEZ AVE",
            "address_2": "SUITE 3450",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900332424",
            "telephone_number": "323-261-0259",
            "fax_number": "323-261-0073"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BERTRAND A. MARCANO, MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-03",
        "last_updated": "2012-02-03",
        "status": "A",
        "authorized_official_last_name": "MARCANO",
        "authorized_official_first_name": "BERTRAND",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "323-261-0259",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "282NC2000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Children",
            "state": "CA",
            "license": "A22276",
            "primary": false
        },
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "CA",
            "license": "A22276",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Landon Bertram
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• Ashley Ivette Berumen
• Edward Ernest Berumen, PSY.D.

• Health Maintenance Organization in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Health Maintenance Organization in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 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.