Individual provider Active NPI

Artvin Christian Orca Marquez, APRN, NP-C

  • Family Nurse Practitioner
  • Chino Hills, CA
National Provider Identifier
1871172767
Registry record updated Apr 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95017073 Issued in CA
Practice address
15101 Fairfield Ranch Rd Unit 18304
Chino Hills, CA 91709-8898
Phone
(626) 392-8708
NPI assigned
Apr 7, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 7, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X 95017073 CA Primary

Addresses

Primary practice location

15101 Fairfield Ranch Rd Unit 18304
Chino Hills, CA 91709-8898

Mailing address

15101 Fairfield Ranch Rd Unit 18304
Chino Hills, CA 91709-8898
Phone (626) 392-8708

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240530001816 CA Practitioner - Nurse Practitioner 0143638072 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Thuy TM Nguyen MD IncGroup PAC ID 0244382703, 2 clinicians

Practice addresses (Care Compare)

9695 Baseline Rd
Rancho Cucamonga, CA 91730-1314
Phone (909) 941-0920

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Brightlane Healthcare Inc CurrentSince Aug 30, 2016 Accepting new patients
Brightlane of California Current Accepting new patients
Thuy T M Nguyen M D Inc Single Specialty CurrentSince Mar 15, 2024 Accepting new patients

Locations

9695 Base Line Rd
Rch Cucamonga, CA 91730
Phone (909) 941-0920

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Brightlane Healthcare IncMontclair, CA, CCN 559655 Home health agency W-2 Managing Employee (100%) Aug 30, 2016

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1617753600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617753600000",
    "number": "1871172767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15101 FAIRFIELD RANCH RD UNIT 18304",
            "city": "CHINO HILLS",
            "state": "CA",
            "postal_code": "917098898",
            "telephone_number": "626-392-8708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15101 FAIRFIELD RANCH RD UNIT 18304",
            "city": "CHINO HILLS",
            "state": "CA",
            "postal_code": "917098898",
            "telephone_number": "626-392-8708"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARQUEZ",
        "first_name": "ARTVIN CHRISTIAN",
        "middle_name": "ORCA",
        "credential": "APRN, NP-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-04-07",
        "last_updated": "2021-04-07",
        "certification_date": "2021-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95017073",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chino Hills, CA

Sources for this page

Verify at the official NPI Registry.