Organization Active NPI

Fred S Marcus, M.D. a Professional Corporation

  • Internal Medicine Physician
  • Redwood City, CA
National Provider Identifier
1669518189
Registry record updated Jul 2, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
FRED S MARCUS, M.D. A PROFESSIONAL CORPORATION
Practice address
2940 Whipple Ave
Suite B
Redwood City, CA 94062-2857
Phone
(650) 216-8300
Fax
(650) 216-8400
NPI assigned
Jan 30, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2008

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

Authorized official

Name
Fred S Marcus, M.D.
Title
Owner
Phone
(650) 216-8300

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X Primary
Medical Oncology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RX0202X

Addresses

Primary practice location

2940 Whipple Ave
Suite B
Redwood City, CA 94062-2857

Mailing address

2940 Whipple Ave
Suite B
Redwood City, CA 94062-2857
Phone (650) 216-8300

National Provider Directory

National Provider Directory

Locations

2940 Whipple Ave
Ste B
Redwood City, CA 94062
Phone (650) 216-8300

NPI Registry JSON

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

{
    "created_epoch": "1170115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214956800000",
    "number": "1669518189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2940 WHIPPLE AVE",
            "address_2": "SUITE B",
            "city": "REDWOOD CITY",
            "state": "CA",
            "postal_code": "940622857",
            "telephone_number": "650-216-8300",
            "fax_number": "650-216-8400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2940 WHIPPLE AVE",
            "address_2": "SUITE B",
            "city": "REDWOOD CITY",
            "state": "CA",
            "postal_code": "940622857",
            "telephone_number": "650-216-8300",
            "fax_number": "650-216-8400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRED S MARCUS, M.D. A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-30",
        "last_updated": "2008-07-02",
        "status": "A",
        "authorized_official_last_name": "MARCUS",
        "authorized_official_first_name": "FRED",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "650-216-8300",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207RX0202X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Medical Oncology",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Redwood City, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2008; 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.