Active NPI
Daryl Ann Marzan, DPT
- Physical Therapist
- Lakeside, CA
National Provider Identifier
1770825432
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 39954
- Practice address
- 12252 Winter Gardens Dr
Lakeside, CA 92040-5440 - Phone
- (619) 549-1724
- NPI assigned
- Mar 20, 2013
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 39954 | CA | Primary |
Addresses
Primary practice location
12252 Winter Gardens Dr
Lakeside, CA 92040-5440
Mailing address
12252 Winter Gardens Dr
Lakeside, CA 92040-5440
Phone (619) 549-1724
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 39954 | CA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1363737600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1363996800000",
"number": "1770825432",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12252 WINTER GARDENS DR",
"city": "LAKESIDE",
"state": "CA",
"postal_code": "920405440",
"telephone_number": "619-549-1724"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12252 WINTER GARDENS DR",
"city": "LAKESIDE",
"state": "CA",
"postal_code": "920405440",
"telephone_number": "619-549-1724"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARZAN",
"first_name": "DARYL",
"middle_name": "ANN",
"credential": "DPT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-03-20",
"last_updated": "2013-03-23",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "39954",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lakeside, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.