James Richard Marrone, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

A066870 Issued in CA

Practice address

1468 N Pinebrook Ave
Upland, CA 91786-2680

Phone

(909) 204-2821

Fax

(909) 204-2821

NPI assigned

May 18, 2007

Reactivated

Oct 21, 2016

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://fhir-myrecord.cerner.com/r4/663c4c6d-1396-44a4-b589-c11a968d4876/

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Yukon-Kuskokwim Health Corporation

  • Rural Acute Care Hospital
  • Bethel, AK
  • NPI 1063567691
  NPD (past)

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

{
    "created_epoch": "1179446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1477612800000",
    "number": "1699983114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1468 N PINEBROOK AVE",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917862680",
            "telephone_number": "909-204-2821",
            "fax_number": "909-204-2821"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1468 N PINEBROOK AVE",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917862680",
            "telephone_number": "909-204-2821",
            "fax_number": "909-204-2821"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARRONE",
        "first_name": "JAMES",
        "middle_name": "RICHARD",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-18",
        "last_updated": "2016-10-28",
        "deactivation_date": "2007-07-17",
        "reactivation_date": "2016-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "A066870",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marie Stoddard Lyndsey MD PC
• Richard Anthony Marin
• Mario a Diaz-Gomez, M.D., a Professional Corporation
• Mark Waterman Chiropractic Corporation
• Neil Markley
• Sheila Marshall, LMFT
• Martin W. Laksana DDS Inc
• Donna Martin
• Kendal Martindale, MSW, ASW
• Martinez Dental Corporation

• Pediatrics Physician in Upland, CA
• Providers in Upland, CA by specialty
• Pediatrics Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2016; 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.