Active NPI
Joseph Edward Marquez, PH.D.
- Clinical Psychologist
- Santa Ana, CA
National Provider Identifier
1902273949
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 30686
- Practice address
- 600 W Santa Ana Blvd Ste 1140
Santa Ana, CA 92701-4557 - Phone
- (657) 549-1837
- NPI assigned
- Aug 25, 2015
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Clinical Psychologist | 103TC0700X | 30686 | CA | Primary |
Addresses
Primary practice location
600 W Santa Ana Blvd Ste 1140
Santa Ana, CA 92701-4557
Mailing address
600 W Santa Ana Blvd Ste 1140
Santa Ana, CA 92701-4557
Phone (657) 549-1837
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 30686 | CA | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1440460800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1624579200000",
"number": "1902273949",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "600 W SANTA ANA BLVD STE 1140",
"city": "SANTA ANA",
"state": "CA",
"postal_code": "927014557",
"telephone_number": "657-549-1837"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "600 W SANTA ANA BLVD STE 1140",
"city": "SANTA ANA",
"state": "CA",
"postal_code": "927014557",
"telephone_number": "657-549-1837"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARQUEZ",
"first_name": "JOSEPH",
"middle_name": "EDWARD",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-08-25",
"last_updated": "2021-06-25",
"certification_date": "2021-06-25",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CA",
"license": "30686",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Santa Ana, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.