Marietta A.N. Almazan, M.D.

Individual provider Active NPI Psychiatry Physician · Fair Oaks, CA

NPI 1740369727 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1740369727
Entity type
Individual (NPI type 1)
Primary specialty
Psychiatry Physician 2084P0800X
License
A46443 (CA)
Practice address
6600 Mercy CT
Suite 290
Fair Oaks, CA 95628-3158
Phone
(916) 962-0021
Fax
(916) 962-0029
NPI assigned
Nov 2, 2006
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
46443CAMDMental Health Counselor

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X A46443 CA Yes

Addresses

Primary practice location

6600 Mercy CT
Suite 290
Fair Oaks, CA 95628-3158

Mailing address

6600 Mercy CT
Suite 290
Fair Oaks, CA 95628-3158
Phone (916) 962-0021

Other providers in Fair Oaks, CA

All providers in Fair Oaks, CA · Psychiatry Physician in California

Sources for this page

Verify at the official NPI Registry.