Organization Active NPI

Luis Marmanillo-Alcazar, M.D.,Inc.

  • Obstetrics Physician
  • Chula Vista, CA
National Provider Identifier
1780987537
Registry record updated Aug 15, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics PhysicianTaxonomy code 207VX0000X
Legal business name
LUIS MARMANILLO-ALCAZAR, M.D.,INC.
Practice address
340 4TH Ave
Suite 17
Chula Vista, CA 91910-3813
Phone
(619) 585-7117
Fax
(619) 585-7146
NPI assigned
Dec 17, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2011

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

Authorized official

Name
Mr. Luis Jorge Marmanillo, M.D.
Title
Office Manager
Phone
(619) 585-7117

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207VX0000X Primary

Addresses

Primary practice location

340 4TH Ave
Suite 17
Chula Vista, CA 91910-3813

Mailing address

340 4TH Ave
Suite 17
Chula Vista, CA 91910-3813
Phone (619) 585-7117

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1292544000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1313366400000",
    "number": "1780987537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "340 4TH AVE",
            "address_2": "SUITE 17",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919103813",
            "telephone_number": "619-585-7117",
            "fax_number": "619-585-7146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "340 4TH AVE",
            "address_2": "SUITE 17",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919103813",
            "telephone_number": "619-585-7117",
            "fax_number": "619-585-7146"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUIS MARMANILLO-ALCAZAR, M.D.,INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-17",
        "last_updated": "2011-08-15",
        "status": "A",
        "authorized_official_last_name": "MARMANILLO",
        "authorized_official_first_name": "LUIS",
        "authorized_official_middle_name": "JORGE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "619-585-7117",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207VX0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology, Obstetrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chula Vista, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2011; 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.