Organization Active NPI

Marie B Britz, M.D. a Medical Corporation

  • Dermatology Physician
  • San Jose, CA
National Provider Identifier
1912229048
Registry record updated Jan 26, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
G337540 Issued in CA
Legal business name
MARIE B BRITZ, M.D. A MEDICAL CORPORATION
Doing business as
Marie B Britz M.D. A Medical Corporation
Practice address
2074 Forest Ave
Suite 1
San Jose, CA 95128-4811
Phone
(408) 294-3200
Fax
(408) 294-3202
NPI assigned
Feb 16, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2015

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

Authorized official

Name
Marie B Britz, M.D.NPI 1881655363
Title
Ceo
Phone
(408) 294-3200

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207N00000X G337540 CA Primary

Addresses

Primary practice location

2074 Forest Ave
Suite 1
San Jose, CA 95128-4811

Mailing address

2074 Forest Ave
Suite 1
San Jose, CA 95128-4811
Phone (408) 294-3200

Other names 1

  • Marie B Britz M.D. A Medical Corporation Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100429001039 CA Part B Supplier - Clinic/Group Practice 1557498193 Receives reassigned benefits from 1 practitioner
Practice locations: San Jose, CA

National Provider Directory

National Provider Directory

Locations

2074 Forest Ave
Ste 1
San Jose, CA 95128
Phone (408) 294-3200

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1266278400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1422230400000",
    "number": "1912229048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2074 FOREST AVE",
            "address_2": "SUITE 1",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951284811",
            "telephone_number": "408-294-3200",
            "fax_number": "408-294-3202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2074 FOREST AVE",
            "address_2": "SUITE 1",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951284811",
            "telephone_number": "408-294-3200",
            "fax_number": "408-294-3202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARIE B BRITZ, M.D. A MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-16",
        "last_updated": "2015-01-26",
        "status": "A",
        "authorized_official_last_name": "BRITZ",
        "authorized_official_first_name": "MARIE",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "408-294-3200",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": "CA",
            "license": "G337540",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Marie B Britz M.D. A Medical Corporation",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Jose, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2015; 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.