Active NPI
Anne L Marangoni, D.P.M.
- Podiatrist
- Pacific Grove, CA
National Provider Identifier
1609933738
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- E3219
- Practice address
- 1219 Forest Ave
Suite G
Pacific Grove, CA 93950-5136 - Phone
- (831) 375-3789
- Fax
- (831) 375-1427
- NPI assigned
- Jan 1, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | E3219 | CA | Primary |
Addresses
Primary practice location
1219 Forest Ave
Suite G
Pacific Grove, CA 93950-5136
Mailing address
PO Box 815
Pacific Grove, CA 93950-0815
Phone (831) 375-3789
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| BBB31601B | Other | CA | MEDICARE SUBMITTER NUMBER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3219 | CA | MD | School Psychologist |
| E3219 | CA | MD | Podiatrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167609600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1421884800000",
"number": "1609933738",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 815",
"city": "PACIFIC GROVE",
"state": "CA",
"postal_code": "939500815",
"telephone_number": "831-375-3789",
"fax_number": "831-375-1427"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1219 FOREST AVE",
"address_2": "SUITE G",
"city": "PACIFIC GROVE",
"state": "CA",
"postal_code": "939505136",
"telephone_number": "831-375-3789",
"fax_number": "831-375-1427"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARANGONI",
"first_name": "ANNE",
"middle_name": "L",
"name_prefix": "Dr.",
"credential": "D.P.M.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-01-01",
"last_updated": "2015-01-22",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "CA",
"license": "E3219",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE SUBMITTER NUMBER",
"identifier": "BBB31601B",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Pacific Grove, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.