Organization Active NPI

Michael J. Marcus DPM a Professional Corporation

  • Podiatrist
  • Irvine, CA
National Provider Identifier
1598996134
Registry record updated Apr 5, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
Legal business name
MICHAEL J. MARCUS DPM A PROFESSIONAL CORPORATION
Practice address
16300 Sand Canyon Avenue
Suite 708
Irvine, CA 92618-3707
Phone
(949) 727-3884
Fax
(949) 753-9115
NPI assigned
Jul 30, 2009
Organization subpart
Yes
Parent organization
MICHAEL J. MARCUS, DPMAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 5, 2017

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

Authorized official

Name
Michael J. Marcus, D.P.M.
Title
Physician
Phone
(323) 724-6663

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
PodiatristGroup: 193200000X MULTI-SPECIALTY GROUP 213E00000X Primary
Durable Medical Equipment & Medical Supplies 332B00000X

Addresses

Primary practice location

16300 Sand Canyon Avenue
Suite 708
Irvine, CA 92618-3707

Mailing address

101 E Beverly Blvd Ste 205
Montebello, CA 90640-4315
Phone (323) 724-6663

Other identifiers 1

IdentifierTypeStateIssuer
1598996134MedicaidCA

National Provider Directory

National Provider Directory
Part of
Podiatry Foot and Ankle

Locations

101 E Beverly Blvd
Ste 205
Montebello, CA 90640
Phone (323) 724-6663

NPI Registry JSON

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

{
    "created_epoch": "1248912000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1491350400000",
    "number": "1598996134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 E BEVERLY BLVD STE 205",
            "city": "MONTEBELLO",
            "state": "CA",
            "postal_code": "906404315",
            "telephone_number": "323-724-6663",
            "fax_number": "323-724-5816"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16300 SAND CANYON AVENUE",
            "address_2": "SUITE 708",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926183707",
            "telephone_number": "949-727-3884",
            "fax_number": "949-753-9115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL J. MARCUS DPM A PROFESSIONAL CORPORATION",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MICHAEL J. MARCUS, DPM",
        "enumeration_date": "2009-07-30",
        "last_updated": "2017-04-05",
        "status": "A",
        "authorized_official_last_name": "MARCUS",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "323-724-6663",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Podiatrist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1598996134",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Irvine, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2017; 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.