Individual provider Active NPI

Anne L Marangoni, D.P.M.

  • Podiatrist
  • Pacific Grove, CA
National Provider Identifier
1609933738
Registry record updated Jan 22, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
E3219 Issued in CA
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

Updated by the provider on Jan 22, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
BBB31601BOtherCAMEDICARE 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
Green means eligible to order or refer.

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. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

LicenseStateTypeSpecialty
3219CAMDSchool Psychologist
E3219CAMDPodiatrist

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

Verify at the official NPI Registry.