Marlon Maus, M.D. DRPH

Primary specialty

Ophthalmic Plastic and Reconstructive Surgery PhysicianTaxonomy code 207WX0200X

License

G87125 Issued in CA

Practice address

2616 Etna St
Berkeley, CA 94704-3409

Phone

(510) 644-1718

NPI assigned

Dec 7, 2016

Last updated

Dec 7, 2016By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1481068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1481068800000",
    "number": "1841734084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2616 ETNA ST",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947043409",
            "telephone_number": "510-644-1718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2616 ETNA ST",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947043409",
            "telephone_number": "510-644-1718"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAUS",
        "first_name": "MARLON",
        "name_prefix": "Dr.",
        "credential": "M.D. DRPH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-12-07",
        "last_updated": "2016-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207WX0200X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Ophthalmic Plastic and Reconstructive Surgery",
            "state": "CA",
            "license": "G87125",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael James Matthews
• Stephanie Fareri Matthews, L.AC.
• John T Mattson, MD
• Margot S. Maurer, L.C.S.W.
• Anna Maurice, LMFT
• Vanessa Marie Mayen, R.N., N.P.
• Lior Mayer, CNM
• Michael Howard Mayer, PH.D.
• Davier Davon Mayes, RVS
• John V Maynes, L.AC.

• Ophthalmic Plastic and Reconstructive Surgery Physician in Berkeley, CA
• Providers in Berkeley, CA by specialty
• Ophthalmic Plastic and Reconstructive Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2016; 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.