Jennifer Deann Marquecho

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

R1225500316 Issued in CA

Practice address

2452 Wilshire St
Riverside, CA 92501-2144

Phone

(951) 682-6631

NPI assigned

Feb 13, 2019

Sex

Female

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

State licenses

Practice roles

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.

• Whiteside Manor, Inc.

  • Substance Abuse Rehabilitation Facility
  • Riverside, CA
  • NPI 1376081323
  NPD (past)

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

{
    "created_epoch": "1550016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1550016000000",
    "number": "1720544877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2452 WILSHIRE ST",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925012144",
            "telephone_number": "951-682-6631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2452 WILSHIRE ST",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925012144",
            "telephone_number": "951-682-6631"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARQUECHO",
        "first_name": "JENNIFER",
        "middle_name": "DEANN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-02-13",
        "last_updated": "2019-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CA",
            "license": "R1225500316",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cherell Narjae Marlow
• Ashley Marmolejo
• Diana Luz Marmolejo
• Anne Marie Marocco-Casey, D.D.S.
• Marque Medical Clinic, Inc.
• Arlene Marques
• Alonso Jose Marquez Fuenmayor, MD
• Alejandra Marquez-Claypool
• Adelinne Marquez
• Blanca Marquez

• Addiction (Substance Use Disorder) Counselor in Riverside, CA
• Providers in Riverside, CA by specialty
• Addiction (Substance Use Disorder) Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 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.