Active NPI
Gina Baudelia Marquez, ABOC, NCLEC
- Optician
- Torrance, CA
National Provider Identifier
1639306111
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optician
- License
- 171366
- Practice address
- 3565 Del Amo Blvd
Torrance, CA 90503-1637 - Phone
- (310) 214-0811
- Fax
- (310) 793-4658
- NPI assigned
- Jun 11, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Contact Lens Technician/Technologist | 156FC0800X | 171366 | CA | |
| Optician | 156FX1800X | 171366 | CA | Primary |
Addresses
Primary practice location
3565 Del Amo Blvd
Torrance, CA 90503-1637
Mailing address
3565 Del Amo Blvd
Torrance, CA 90503-1637
Phone (310) 214-0811
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 171366 | CA | MD | Contact Lens Technician/Technologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1244678400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1244678400000",
"number": "1639306111",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3565 DEL AMO BLVD",
"city": "TORRANCE",
"state": "CA",
"postal_code": "905031637",
"telephone_number": "310-214-0811",
"fax_number": "310-793-4658"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3565 DEL AMO BLVD",
"city": "TORRANCE",
"state": "CA",
"postal_code": "905031637",
"telephone_number": "310-214-0811",
"fax_number": "310-793-4658"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARQUEZ",
"first_name": "GINA",
"middle_name": "BAUDELIA",
"credential": "ABOC, NCLEC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-06-11",
"last_updated": "2009-06-11",
"status": "A"
},
"taxonomies": [
{
"code": "156FC0800X",
"taxonomy_group": "",
"desc": "Technician/Technologist, Contact Lens",
"state": "CA",
"license": "171366",
"primary": false
},
{
"code": "156FX1800X",
"taxonomy_group": "",
"desc": "Technician/Technologist, Optician",
"state": "CA",
"license": "171366",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Torrance, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.