Tara Marchido, NP-C

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

14202 Issued in CA

Practice address

3050 Regent Blvd
Suite100
Irving, TX 75063-3196

Phone

(214) 689-3600

Fax

(214) 689-3644

NPI assigned

Oct 10, 2012

Last updated

Oct 10, 2012By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Raef M Elsanadi MD Inc a Professional CorporationGroup PAC ID 7618933037, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Raef M Elsanadi MD Inc a Professional Corporation

  • Internal Medicine Physician
  • Mission Viejo, CA
  • NPI 1053482752
  Medicare reassignment Care Compare group NPD
• Minghsun Liu, M.D., PC

  dba Woundtech of California

  • Infectious Disease Physician
  • Los Angeles, CA
  • NPI 1518309368
  Medicare reassignment NPD

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

{
    "created_epoch": "1349827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1349827200000",
    "number": "1922350255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7474 ELM GROVE AVE",
            "city": "EASTVALE",
            "state": "CA",
            "postal_code": "928809066",
            "telephone_number": "951-279-9175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3050 REGENT BLVD",
            "address_2": "SUITE100",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750633196",
            "telephone_number": "214-689-3600",
            "fax_number": "214-689-3644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARCHIDO",
        "first_name": "TARA",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-10-10",
        "last_updated": "2012-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "CA",
            "license": "14202",
            "primary": true
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "CA",
            "license": "14202",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jena Mansour
• Manuel C Pecana MD PLLC
• Manuel C.Pecana,M.D.P.a.
• Uzma Manzoor
• Marathon Health LLC (Keurig Dr Pepper - Irving)
• Derek Shane Marcum, DC
• Jeyka Estelli Marin Alvarez, MD
• Madeleine Terblanche Maritato, MOT
• Mark Cwikla, MD PA
• Mark Kazewhych, MD

• Adult Health Nurse Practitioner in Irving, TX
• Providers in Irving, TX by specialty
• Adult Health Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.