Active NPI
Jonathan Paul Marquez, M.A.
- Specialist
- San Diego, CA
National Provider Identifier
1649607870
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- Practice address
- 10455 Pomerado Rd
San Diego, CA 92131-1717 - Phone
- (956) 279-0039
- NPI assigned
- Oct 2, 2013
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Specialist | 174400000X | Primary |
Addresses
Primary practice location
10455 Pomerado Rd
San Diego, CA 92131-1717
Mailing address
7021 Draper Ave
La Jolla, CA 92037-5409
Phone (956) 279-0039
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Previously, effective Aug 27, 2020 through Aug 27, 2026
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 31865 | CA | MD | Certified Respiratory Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1380672000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1380672000000",
"number": "1649607870",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7021 DRAPER AVE",
"city": "LA JOLLA",
"state": "CA",
"postal_code": "920375409",
"telephone_number": "956-279-0039"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10455 POMERADO RD",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921311717",
"telephone_number": "956-279-0039"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARQUEZ",
"first_name": "JONATHAN",
"middle_name": "PAUL",
"name_prefix": "Mr.",
"credential": "M.A.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-10-02",
"last_updated": "2013-10-02",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.