Justin Ryan Mariano

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

36835 Issued in CA

Practice address

801 Woodside Rd Ste 11
Redwood City, CA 94061-3751

Phone

(510) 538-1111

NPI assigned

Jul 22, 2024

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

State licenses

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

{
    "created_epoch": "1721606400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721606400000",
    "number": "1760210728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 WOODSIDE RD STE 11",
            "city": "REDWOOD CITY",
            "state": "CA",
            "postal_code": "940613751",
            "telephone_number": "510-538-1111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 WOODSIDE RD STE 11",
            "city": "REDWOOD CITY",
            "state": "CA",
            "postal_code": "940613751",
            "telephone_number": "510-538-1111"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "149 2nd St",
            "address_purpose": "LOCATION",
            "city": "Los Altos",
            "state": "CA",
            "postal_code": "940222745",
            "country_code": "US",
            "telephone_number": "650-823-3315",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARIANO",
        "first_name": "JUSTIN",
        "middle_name": "RYAN",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-07-22",
        "last_updated": "2024-07-22",
        "certification_date": "2024-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "36835",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa Tonokawa Marcacci
• Melissa Marcelin
• Evelyn Jean Marchini, PH.D.
• Elyza Charise Marfil
• Lewis Sandy Margolis
• Mark J Sontag MD
• Ariel Marks, M.D
• Lauren Elizabeth Marks
• C Jane Breeden Marmor, MD
• Desi Ivonne Marota

• Chiropractor in Redwood City, CA
• Providers in Redwood City, CA by specialty
• Chiropractor in California

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

Verify at the official NPI Registry.