Robert Anthony Marquez, CADACC REGISTERED

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

D5037767 Issued in CA

Practice address

11015 Bloomfield Ave
Santa Fe Springs, CA 90670-4601

Phone

(562) 906-2676

NPI assigned

Jun 5, 2009

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": "1244160000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1244160000000",
    "number": "1770719692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12425 MAPLEDALE ST",
            "city": "NORWALK,",
            "state": "CA",
            "postal_code": "90650",
            "telephone_number": "562-692-0261"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11015 BLOOMFIELD AVE",
            "city": "SANTA FE SPRINGS",
            "state": "CA",
            "postal_code": "906704601",
            "telephone_number": "562-906-2676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARQUEZ",
        "first_name": "ROBERT",
        "middle_name": "ANTHONY",
        "name_prefix": "Mr.",
        "credential": "CADACC REGISTERED",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-06-05",
        "last_updated": "2009-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "CA",
            "license": "D5037767",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Flora May Bugo Marion
• Marknew Products Corp
• Laura Marmolejo
• Lucia Esmeralda Marmolejo
• Linda Guadalupe Marquez Lopez
• Marquezddsprofesionalcorporation
• Allison Frances Martin
• Daniel Ozomahtli Martin
• Hailey Martin
• Latrisa Martin

• Community/Behavioral Health Agency in Santa Fe Springs, CA
• Providers in Santa Fe Springs, CA by specialty
• Community/Behavioral Health Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2009; 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.