Individual provider Active NPI

Marie B Britz, M.D.

  • Dermatology Physician
  • San Jose, CA
National Provider Identifier
1881655363
Registry record updated Feb 4, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
G337540 Issued in CA
Practice address
2074 Forest Ave
Suite 1
San Jose, CA 95128-4811
Phone
(408) 294-3200
Fax
(408) 294-3202
NPI assigned
Mar 31, 2006
Last updated
Feb 4, 2010By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 4, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X G337540 CA Primary

Addresses

Primary practice location

2074 Forest Ave
Suite 1
San Jose, CA 95128-4811

Mailing address

2074 Forest Ave
Suite 1
San Jose, CA 95128-4811
Phone (408) 294-3200

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100429001250 CA Practitioner - Dermatology 6608903240 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
New York Medical College, 1972
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

2074 Forest Ave
Suite 1
San Jose, CA 95128-4811
Phone (408) 294-3200

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions41
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
G337540CAMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Marie B Britz, M.D. a Medical Corporation Dermatology CurrentSince Feb 1, 2010 Accepting new patients
County of Santa Clara PastSince Feb 1, 2010 Accepting new patients

Locations

2074 Forest Ave
Ste 1
San Jose, CA 95128
Phone (408) 294-3200

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1143763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1265241600000",
    "number": "1881655363",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2074 FOREST AVE",
            "address_2": "SUITE 1",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951284811",
            "telephone_number": "408-294-3200",
            "fax_number": "408-294-3202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2074 FOREST AVE",
            "address_2": "SUITE 1",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951284811",
            "telephone_number": "408-294-3200",
            "fax_number": "408-294-3202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRITZ",
        "first_name": "MARIE",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-03-31",
        "last_updated": "2010-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "CA",
            "license": "G337540",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Jose, CA

Sources for this page

Verify at the official NPI Registry.