Marc Ma Family Medicine

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

MARC MA FAMILY MEDICINE

Practice address

1818 Sierra Leone Ave Ste E
Rowland Heights, CA 91748-3696

Phone

(626) 600-8066

Fax

(626) 508-1280

NPI assigned

Feb 17, 2022

Organization subpart

No

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

Authorized official

Name

Marc Ma, MDNPI 1740500313

Title

Owner

Phone

(626) 536-7534

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Marc Hualong Ma, M.D.

  • Family Medicine Physician
  • Rowland Heights, CA
  • NPI 1740500313
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1645056000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1657756800000",
    "number": "1760137780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1818 SIERRA LEONE AVE STE E",
            "city": "ROWLAND HEIGHTS",
            "state": "CA",
            "postal_code": "917483696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1818 SIERRA LEONE AVE STE E",
            "city": "ROWLAND HEIGHTS",
            "state": "CA",
            "postal_code": "917483696",
            "telephone_number": "626-600-8066",
            "fax_number": "626-508-1280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARC MA FAMILY MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-17",
        "last_updated": "2022-07-14",
        "certification_date": "2022-06-28",
        "status": "A",
        "authorized_official_last_name": "MA",
        "authorized_official_first_name": "MARC",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "626-536-7534",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinic/Center in Rowland Heights, CA
• Providers in Rowland Heights, CA by specialty
• Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.