Marilyn S. Kwolek MD, PC

Primary specialty

SpecialistTaxonomy code 174400000X

License

C41932 Issued in CA

Legal business name

MARILYN S. KWOLEK MD, PC

Practice address

917 San Ramon Valley Blvd Ste 199
Danville, CA 94526-4032

Phone

(925) 838-2677

Fax

(925) 838-6924

NPI assigned

Aug 1, 2012

Organization subpart

No

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

Authorized official

Name

Marilyn S. Kwolek, MDNPI 1700936150

Title

President

Phone

(925) 838-2677

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Marilyn Kwolek, MD

  • Specialist
  • Danville, CA
  • NPI 1700936150
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1343779200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1343779200000",
    "number": "1881940427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "917 SAN RAMON VALLEY BLVD STE 199",
            "city": "DANVILLE",
            "state": "CA",
            "postal_code": "945264032",
            "telephone_number": "925-838-2677",
            "fax_number": "925-838-6924"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "917 SAN RAMON VALLEY BLVD STE 199",
            "city": "DANVILLE",
            "state": "CA",
            "postal_code": "945264032",
            "telephone_number": "925-838-2677",
            "fax_number": "925-838-6924"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARILYN S. KWOLEK MD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-01",
        "last_updated": "2012-08-01",
        "status": "A",
        "authorized_official_last_name": "KWOLEK",
        "authorized_official_first_name": "MARILYN",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "925-838-2677",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "CA",
            "license": "C41932",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rupinder K Mann, MD
• Sirintorn R Mann, PA-C
• Heather Michelle Marchman, M.A., L.M.F.T.
• Karen Marcum
• Margaret Mariella, M.D.
• Mark Graham, DDS, Inc.
• Julie Mark, RPH
• Christyn Marshall, DPM
• Kelsey Elise Martin, PA-C
• Jisela Martinez

• Specialist in Danville, CA
• Providers in Danville, CA by specialty
• Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.