Active NPI
David Marcus MD, Inc.
- Psychiatry Physician
- Pasadena, CA
National Provider Identifier
1639674161
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- Legal business name
- DAVID MARCUS MD, INC.
- Practice address
- 107 S. Fair Oaks Avenue
Suite #315
Pasadena, CA 91105 - Phone
- (626) 219-6657
- Fax
- (626) 219-6658
- NPI assigned
- Mar 27, 2018
- Organization subpart
- Yes
- Parent organization
- DAVID MARCUS MD, INC.
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. David Loren Marcus, M.D.
- Title
- Owner
- Phone
- (310) 702-7124
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | Primary |
Addresses
Primary practice location
107 S. Fair Oaks Avenue
Suite #315
Pasadena, CA 91105
Mailing address
10573 W. Pico Blvd P.O. Box 338
Los Angeles, CA 90064
Phone (626) 219-6657
National Provider Directory
National Provider Directory- Part of
- David Marcus MD Inc
Locations
107 S Fair Oaks Ave
Ste 315
Pasadena, CA 91105
Phone (626) 806-6857
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1522108800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1522108800000",
"number": "1639674161",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10573 W. PICO BLVD P.O. BOX 338",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "90064",
"telephone_number": "626-219-6657",
"fax_number": "626-219-6658"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "107 S. FAIR OAKS AVENUE",
"address_2": "SUITE #315",
"city": "PASADENA",
"state": "CA",
"postal_code": "91105",
"telephone_number": "626-219-6657",
"fax_number": "626-219-6658"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DAVID MARCUS MD, INC.",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "DAVID MARCUS MD, INC.",
"enumeration_date": "2018-03-27",
"last_updated": "2018-03-27",
"status": "A",
"authorized_official_last_name": "MARCUS",
"authorized_official_first_name": "DAVID",
"authorized_official_middle_name": "LOREN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "310-702-7124",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pasadena, CA
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.