Individual provider Active NPI

Anna Luisa Marroquin, PA

  • Physician Assistant
  • Ventura, CA
National Provider Identifier
1902760507
Registry record updated Aug 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
67517 Issued in CA
Practice address
100 N Brent St Ste 301
Ventura, CA 93003-2836
Phone
(805) 653-0101
NPI assigned
Dec 10, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 25, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 67517 CA Primary

Addresses

Primary practice location

100 N Brent St Ste 301
Ventura, CA 93003-2836

Mailing address

100 N Brent St Ste 301
Ventura, CA 93003-2836
Phone (805) 653-0101

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
I20260225001456 CA Practitioner - Physician Assistant 6709367006 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Loma Linda University School of Medicine, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cardiology Associates Medical GroupGroup PAC ID 6507763471, 13 clinicians

Practice addresses (Care Compare)

100 N Brent St
Suite 301
Ventura, CA 93003-2836
Phone (805) 653-0101

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
67517CAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Cardiology Associates Medical Group CurrentSince Feb 15, 2026 Accepting new patients

Locations

1701 Solar Dr
Ste 150
Oxnard, CA 93030
Phone (805) 278-4020

168 N Brent St
Ste 503
Ventura, CA 93003
Phone (805) 653-0101

100 N Brent St
Ste 301
Ventura, CA 93003
Phone (805) 648-2763

Organizations & group practices 1

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.

Hospital & facility affiliations 11

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1765324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787616000000",
    "number": "1902760507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 N BRENT ST STE 301",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930032836",
            "telephone_number": "805-653-0101",
            "fax_number": "805-641-0434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 N BRENT ST STE 301",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930032836",
            "telephone_number": "805-653-0101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARROQUIN",
        "first_name": "ANNA LUISA",
        "credential": "PA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-12-10",
        "last_updated": "2026-08-25",
        "certification_date": "2026-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "67517",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ventura, CA

Sources for this page

Verify at the official NPI Registry.