Richelle Marracino, M.D.

Primary specialty

Adult Medicine PhysicianTaxonomy code 207QA0505X

License

A67463 Issued in CA

Practice address

5500 University Parkway
Csusb Student Health Center
San Bernardino, CA 92407

Phone

(909) 537-7444

Fax

(909) 537-7027

NPI assigned

May 23, 2007

Last updated

Jun 17, 2014By the provider in NPPES

Sex

Female

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

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1179878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1402963200000",
    "number": "1861602021",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7100",
            "city": "REDLANDS",
            "state": "CA",
            "postal_code": "923750100",
            "telephone_number": "909-537-7444",
            "fax_number": "909-537-7027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5500 UNIVERSITY PARKWAY",
            "address_2": "CSUSB STUDENT HEALTH CENTER",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "92407",
            "telephone_number": "909-537-7444",
            "fax_number": "909-537-7027"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARRACINO",
        "first_name": "RICHELLE",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-23",
        "last_updated": "2014-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": "CA",
            "license": "A67463",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Rocio Marquez
• Jeanine Louise Marquis, MFT
• Tina Marrufo
• Melanie Marrujo
• Alesha Marshall
• Christina Rene Marshall, LVN
• Hoyt Marshall

• Adult Medicine Physician in San Bernardino, CA
• Providers in San Bernardino, CA by specialty
• Adult Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.