Active NPI
Marlys R Drange, MD,Inc
- Endocrinology, Diabetes & Metabolism Physician
- Pasadena, CA
National Provider Identifier
1780066613
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endocrinology, Diabetes & Metabolism Physician
- License
- A54654
- Legal business name
- MARLYS R DRANGE, MD,INC
- Practice address
- 301 S Fair Oaks Ave
Suite 105
Pasadena, CA 91105-2561 - Phone
- (626) 795-2663
- Fax
- (626) 795-2012
- NPI assigned
- Jun 27, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Marlys R Drange, MD
- Title
- Owner
- Phone
- (626) 795-2663
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Endocrinology, Diabetes & Metabolism Physician | 207RE0101X | A54654 | CA | Primary |
Addresses
Primary practice location
301 S Fair Oaks Ave
Suite 105
Pasadena, CA 91105-2561
Mailing address
301 S Fair Oaks Ave
Suite 105
Pasadena, CA 91105-2561
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1435363200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1435363200000",
"number": "1780066613",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "301 S FAIR OAKS AVE",
"address_2": "SUITE 105",
"city": "PASADENA",
"state": "CA",
"postal_code": "911052561"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "301 S FAIR OAKS AVE",
"address_2": "SUITE 105",
"city": "PASADENA",
"state": "CA",
"postal_code": "911052561",
"telephone_number": "626-795-2663",
"fax_number": "626-795-2012"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MARLYS R DRANGE, MD,INC",
"organizational_subpart": "NO",
"enumeration_date": "2015-06-27",
"last_updated": "2015-06-27",
"status": "A",
"authorized_official_last_name": "DRANGE",
"authorized_official_first_name": "MARLYS",
"authorized_official_middle_name": "R",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "626-795-2663",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207RE0101X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
"state": "CA",
"license": "A54654",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pasadena, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.