Mariel Muriel Pastrana MD Inc

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

A127358 Issued in CA

Legal business name

MARIEL MURIEL PASTRANA MD INC

Practice address

4364 Gardenia St
San Ramon, CA 94582-6013

Phone

(770) 289-8185

NPI assigned

Jun 7, 2018

Organization subpart

No

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

Authorized official

Name

Mariel Muriel Pastrana, MD

Title

President

Phone

(770) 289-8185

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1528329600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1528329600000",
    "number": "1760975445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4364 GARDENIA ST",
            "city": "SAN RAMON",
            "state": "CA",
            "postal_code": "945826013",
            "telephone_number": "770-289-8185"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4364 GARDENIA ST",
            "city": "SAN RAMON",
            "state": "CA",
            "postal_code": "945826013",
            "telephone_number": "770-289-8185"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARIEL MURIEL PASTRANA MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-07",
        "last_updated": "2018-06-07",
        "status": "A",
        "authorized_official_last_name": "PASTRANA",
        "authorized_official_first_name": "MARIEL",
        "authorized_official_middle_name": "MURIEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "770-289-8185",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A127358",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "A127358",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Benedict John Marciano, MD
• Joseph Yusaf Mardanzai, MD
• William Keith Marek, PH.D.
• Seneca Mariano, D.D.S.
• Marie Star Home Health Services LLC
• Mark Lollar, M.D. Inc
• Courtney Markovich, MS, OTR/L
• Rowena O Marlang
• Diane Marler
• Alicia Flor Marpo, MSPSY, LMFT

• Internal Medicine Physician in San Ramon, CA
• Providers in San Ramon, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2018; 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.