Individual provider Active NPI

Patrice Ann Marcarelli, MD

  • Infectious Disease Physician
  • Long Beach, CA
National Provider Identifier
1760455000
Registry record updated Nov 18, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
A39993 Issued in CA
Practice address
PO Box 17687
# 1442
Long Beach, CA 90807-7687
Phone
(310) 672-2099
Fax
(866) 451-2079
NPI assigned
Feb 8, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 18, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease Physician 207RI0200X A39993 CA Primary

Addresses

Primary practice location

PO Box 17687
# 1442
Long Beach, CA 90807-7687

Mailing address

PO Box 17687
Long Beach, CA 90807-7687
Phone (310) 670-2099

Other identifiers 1

IdentifierTypeStateIssuer
00A399930MedicaidCA

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Pacific Nephrology Medical Group Past Accepting new patients
Yep H. Wong, M.D. Inc Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1139356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1479427200000",
    "number": "1760455000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 17687",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908077687",
            "telephone_number": "310-670-2099",
            "fax_number": "866-451-2079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PO BOX 17687",
            "address_2": "# 1442",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908077687",
            "telephone_number": "310-672-2099",
            "fax_number": "866-451-2079"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARCARELLI",
        "first_name": "PATRICE",
        "middle_name": "ANN",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-02-08",
        "last_updated": "2016-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "CA",
            "license": "A39993",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A399930",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Long Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2016; 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.