Active NPI
Alan H. Marx, MD
- Psychiatry Physician
- San Carlos, CA
National Provider Identifier
1902984529
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- C35978
- Practice address
- 301 Industrial Rd
San Carlos, CA 94070-2603 - Phone
- (650) 596-4195
- NPI assigned
- Nov 1, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | C35978 | CA | Primary |
Addresses
Primary practice location
301 Industrial Rd
San Carlos, CA 94070-2603
Mailing address
325 Distel Cir
Los Altos, CA 94022-1408
Phone (650) 596-4195
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00C359780 | Medicaid | CA |
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C35978 | CA | MD | Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162339200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1590710400000",
"number": "1902984529",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "325 DISTEL CIR",
"city": "LOS ALTOS",
"state": "CA",
"postal_code": "940221408",
"telephone_number": "650-596-4195"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "301 INDUSTRIAL RD",
"city": "SAN CARLOS",
"state": "CA",
"postal_code": "940702603",
"telephone_number": "650-596-4195"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARX",
"first_name": "ALAN",
"middle_name": "H.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-01",
"last_updated": "2020-05-29",
"certification_date": "2020-05-29",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "CA",
"license": "C35978",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00C359780",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in San Carlos, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.