Marvous Saunders MD Inc.

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

G17298 Issued in CA

Legal business name

MARVOUS SAUNDERS MD INC.

Practice address

2621 S Bristol St Ste 102
Santa Ana, CA 92704-5718

Phone

(714) 662-1771

Fax

(714) 662-1116

NPI assigned

Dec 20, 2017

Last updated

Dec 20, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Maria Castillo

Title

Office Manager

Phone

(714) 662-1771

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1513728000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1513728000000",
    "number": "1811403298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2621 S BRISTOL ST STE 102",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927045718",
            "telephone_number": "714-662-1771",
            "fax_number": "714-662-1116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2621 S BRISTOL ST STE 102",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927045718",
            "telephone_number": "714-662-1771",
            "fax_number": "714-662-1116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARVOUS SAUNDERS MD INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-20",
        "last_updated": "2017-12-20",
        "status": "A",
        "authorized_official_last_name": "CASTILLO",
        "authorized_official_first_name": "MARIA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "714-662-1771",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": "CA",
            "license": "G17298",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tanessa Martinez
• Tanya Martinez
• Yesenia Martinez
• Stephanie Martins, RN, BSN, PHN
• Tabbatha Kathleen Martins
• Mary Gonzalez, Licensed Clinical Worker Inc.
• Mary's Shelter
• Mary's Shelter
• Mary's Shelter
• Mary's Shelter

• Dermatology Physician in Santa Ana, CA
• Providers in Santa Ana, CA by specialty
• Dermatology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2017; 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.