Individual provider Active NPI

Roberto Marron, NP

  • Family Nurse Practitioner
  • Anaheim, CA
National Provider Identifier
1619565348
Registry record updated Jan 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95015842 Issued in CA
Practice address
1902 S Norma LN
Anaheim, CA 92802-3226
Phone
(714) 726-9557
NPI assigned
Jan 7, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 7, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 95015842 CA Primary

Addresses

Primary practice location

1902 S Norma LN
Anaheim, CA 92802-3226

Mailing address

1902 S Norma LN
Anaheim, CA 92802-3226
Phone (714) 726-9557

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251009002920 CA Practitioner - Nurse Practitioner 9335642768 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1233 N Vermont Ave
Suite 2
Los Angeles, CA 90029-1749
Phone (323) 427-6025

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
95015842CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Vermont Family and Women Health Services Apc CurrentSince Jul 15, 2025 Accepting new patients

Locations

1233 N Vermont Ave
Ste 2
Los Angeles, CA 90029
Phone (323) 407-6025

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1609977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609977600000",
    "number": "1619565348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1902 S NORMA LN",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928023226",
            "telephone_number": "714-726-9557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1902 S NORMA LN",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928023226",
            "telephone_number": "714-726-9557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARRON",
        "first_name": "ROBERTO",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-01-07",
        "last_updated": "2021-01-07",
        "certification_date": "2021-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95015842",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anaheim, CA

Sources for this page

Verify at the official NPI Registry.