Marshall R Contreras, M.D.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

C38129 Issued in CA

Practice address

880 Delbon Ave
Turlock, CA 95382-2005

Phone

(209) 634-2925

Fax

(209) 634-9169

NPI assigned

Jan 26, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1138233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1334188800000",
    "number": "1760453096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "880 DELBON AVE",
            "city": "TURLOCK",
            "state": "CA",
            "postal_code": "953822005",
            "telephone_number": "209-634-2925",
            "fax_number": "209-634-9169"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "880 DELBON AVE",
            "city": "TURLOCK",
            "state": "CA",
            "postal_code": "953822005",
            "telephone_number": "209-634-2925",
            "fax_number": "209-634-9169"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONTRERAS",
        "first_name": "MARSHALL",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-26",
        "last_updated": "2012-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "C38129",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00C381290",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michael Collins, ATC
• Scott A Colquhoun, MD
• Nicolas Emiliano Colunga I
• Preethi Conjeevaram Selvakumar, MD
• Patricia E Conteh, NP
• Denae Joelle Cook, MSW
• Tracie Lea Cordeiro, COTA/L
• Eva Cordova
• Angela Cordoves
• Beatriz Cornejo

• Ophthalmology Physician in Turlock, CA
• Providers in Turlock, CA by specialty
• Ophthalmology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.