Courtney Marquez, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

52178 Issued in CA

Practice address

24785 Stewart St
Evans Hall Room 201
Loma Linda, CA 92350-1721

Phone

(909) 558-7295

NPI assigned

Apr 12, 2015

Sex

Female

Sole proprietor

No

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

State licenses

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

{
    "created_epoch": "1428796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1545782400000",
    "number": "1891181269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24785 STEWART ST",
            "address_2": "EVANS HALL ROOM 201",
            "city": "LOMA LINDA",
            "state": "CA",
            "postal_code": "923501721"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24785 STEWART ST",
            "address_2": "EVANS HALL ROOM 201",
            "city": "LOMA LINDA",
            "state": "CA",
            "postal_code": "923501721",
            "telephone_number": "909-558-7295"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARQUEZ",
        "first_name": "COURTNEY",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-04-12",
        "last_updated": "2018-12-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CA",
            "license": "52178",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marlboro Cancer Screening Center Inc
• Jamie Marliere
• Carmen Marmo, PA-C
• Maverick Doctolero Marpa, MD
• Silaine Marques
• Kathryn Nicole Barbaza Marquez, MD
• Sergio Jose Marquez, MD
• Wesley Benjamin Marquis, PT DPT
• Robert Marsa, M.D.
• Alexander William Marshall, MD

• Medical Physician Assistant in Loma Linda, CA
• Providers in Loma Linda, CA by specialty
• Medical Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2018; 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.