Octavio Marquez Montoya, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

Practice address

1200 Rosecrans Ave Ste 206
Manhattan Beach, CA 90266-2451

Phone

(310) 726-0750

NPI assigned

Jun 22, 2019

Sex

Male

Sole proprietor

Yes

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)

Not enrolled

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

{
    "created_epoch": "1561161600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561161600000",
    "number": "1710548698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "355 E 103RD ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900034903",
            "telephone_number": "323-696-5418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 ROSECRANS AVE STE 206",
            "city": "MANHATTAN BEACH",
            "state": "CA",
            "postal_code": "902662451",
            "telephone_number": "310-726-0750"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5927 W Imperial Hwy",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900456303",
            "country_code": "US",
            "telephone_number": "310-665-1059",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "14830 Van Ness Ave",
            "address_purpose": "LOCATION",
            "city": "Gardena",
            "state": "CA",
            "postal_code": "902493718",
            "country_code": "US",
            "telephone_number": "323-696-5418",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARQUEZ MONTOYA",
        "first_name": "OCTAVIO",
        "credential": "ATC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-06-22",
        "last_updated": "2019-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mark Costopoulos DPM
• Michael Mark
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• Camille Garcia Marzan, DC
• Emily E Masi, FNP-BC; PMHNP-BC

• Athletic Trainer in Manhattan Beach, CA
• Providers in Manhattan Beach, CA by specialty
• Athletic Trainer in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2019; 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.