Active NPI
Roya Marzban, FNP
- Family Nurse Practitioner
- Campbell, CA
National Provider Identifier
1700649852
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 95028691
- Practice address
- 3803 S Bascom Ave Ste 104
Campbell, CA 95008-7317 - Phone
- (888) 852-1988
- NPI assigned
- Feb 1, 2024
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 95028691 | CA | Primary |
Addresses
Primary practice location
3803 S Bascom Ave Ste 104
Campbell, CA 95008-7317
Mailing address
6936 Gregorich Dr Unit F
San Jose, CA 95138-1984
Phone (928) 925-5314
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 95028691 | CA | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1706745600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1706745600000",
"number": "1700649852",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6936 GREGORICH DR UNIT F",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951381984",
"telephone_number": "928-925-5314"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3803 S BASCOM AVE STE 104",
"city": "CAMPBELL",
"state": "CA",
"postal_code": "950087317",
"telephone_number": "888-852-1988"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARZBAN",
"first_name": "ROYA",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-02-01",
"last_updated": "2024-02-01",
"certification_date": "2024-02-01",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CA",
"license": "95028691",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Campbell, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.