Denise Intal Mariano, CLS PHM

Primary specialty

Laboratory Management Specialist/TechnologistTaxonomy code 246QL0900X

License

1083 Issued in CA

Practice address

1001 Potrero Ave
San Francisco, CA 94110-3518

Phone

(415) 516-0749

NPI assigned

Jun 17, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Mrs. Denise Intal Mariano Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1592352000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592352000000",
    "number": "1669098448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3102 N FRONT ST",
            "city": "HERCULES",
            "state": "CA",
            "postal_code": "945475465",
            "telephone_number": "415-516-0749"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 POTRERO AVE",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941103518",
            "telephone_number": "415-516-0749"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARIANO",
        "first_name": "DENISE",
        "middle_name": "INTAL",
        "credential": "CLS PHM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-06-17",
        "last_updated": "2020-06-17",
        "certification_date": "2020-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246QL0900X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Pathology, Laboratory Management",
            "state": "CA",
            "license": "1083",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DENISE",
            "last_name": "MARIANO",
            "middle_name": "INTAL",
            "prefix": "MRS.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Catherine Ann Mariani-Walrod, PT, DPT
• Erin P Mariani, NBC-HWC
• Tayah Louise Mariani, APCC
• Milenn Joy Mariano Sajo, LVN
• Ann Bernadette Mariano
• Geraldine Eusebio Mariano, N.P.
• Susan Marick-Ker
• Pierre-Joseph Marie-Rose, MD
• Cecile Marie, LCSW
• Tina Marie

• Pathology Specialist/Technologist in San Francisco, CA
• Providers in San Francisco, CA by specialty
• Pathology Specialist/Technologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.