Active NPI
Yvonne Marinkovich, D.C.
- Chiropractor
- San Pedro, CA
National Provider Identifier
1841388873
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC15301
- Practice address
- 1851 N Gaffey St
Suite B
San Pedro, CA 90731-1258 - Phone
- (310) 548-3172
- Fax
- (310) 548-3251
- NPI assigned
- Oct 11, 2006
- 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 |
|---|---|---|---|---|
| Chiropractor | 111N00000X | DC15301 | CA | Primary |
Addresses
Primary practice location
1851 N Gaffey St
Suite B
San Pedro, CA 90731-1258
Mailing address
1851 N Gaffey St
Suite B
San Pedro, CA 90731-1258
Phone (310) 548-3172
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DC15301 | CA | MD | Chiropractor |
| 15301 | CA | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160524800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1339718400000",
"number": "1841388873",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1851 N GAFFEY ST",
"address_2": "SUITE B",
"city": "SAN PEDRO",
"state": "CA",
"postal_code": "907311258",
"telephone_number": "310-548-3172",
"fax_number": "310-548-3251"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1851 N GAFFEY ST",
"address_2": "SUITE B",
"city": "SAN PEDRO",
"state": "CA",
"postal_code": "907311258",
"telephone_number": "310-548-3172",
"fax_number": "310-548-3251"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARINKOVICH",
"first_name": "YVONNE",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-10-11",
"last_updated": "2012-06-15",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CA",
"license": "DC15301",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Pedro, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.