C Jane Breeden Marmor, MD

Primary specialty

Radiation Oncology PhysicianTaxonomy code 2085R0001X

License

G13979 Issued in CA

Practice address

170 Alameda de Las Pulgas
Dept of Radiation Oncology Sequoia Hospital
Redwood City, CA 94062-2799

Phone

(650) 245-3889

Fax

(650) 323-0764

NPI assigned

Dec 19, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1134950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1669458014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "649 MIRADA AVE",
            "city": "STANFORD",
            "state": "CA",
            "postal_code": "943058476",
            "telephone_number": "650-323-0754",
            "fax_number": "650-323-0764"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "170 ALAMEDA DE LAS PULGAS",
            "address_2": "DEPT OF RADIATION ONCOLOGY SEQUOIA HOSPITAL",
            "city": "REDWOOD CITY",
            "state": "CA",
            "postal_code": "940622799",
            "telephone_number": "650-245-3889",
            "fax_number": "650-323-0764"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARMOR",
        "first_name": "C JANE",
        "middle_name": "BREEDEN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "CA",
            "license": "G13979",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "00G139790",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G139790",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lewis Sandy Margolis
• Justin Ryan Mariano
• Mark J Sontag MD
• Ariel Marks, M.D
• Lauren Elizabeth Marks
• Desi Ivonne Marota
• Sharon Maroukel, PHD
• Christian Marquez
• Celia Anne Marie Marquis, NP AND RN
• Ariel D Marrero, PSYD

• Radiation Oncology Physician in Redwood City, CA
• Providers in Redwood City, CA by specialty
• Radiation Oncology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.