Individual provider Active NPI

Elsa Luisa Marshall, M.D.

  • Internal Medicine Physician
  • El Monte, CA
National Provider Identifier
1932219342
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
G37762 Issued in CA
Practice address
3144 Santa Anita Ave
El Monte, CA 91733-1316
Phone
(626) 582-7956
NPI assigned
Aug 30, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X G37762 CA Primary

Addresses

Primary practice location

3144 Santa Anita Ave
El Monte, CA 91733-1316

Mailing address

18120 Cowbell CT
Rowland Heights, CA 91748-4758

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20091119000568 TX Practitioner - Internal Medicine 1153491469 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
G37762CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Anadarko Indian Health Center CurrentSince Jun 4, 2019 Accepting new patients
Lawton Indian Hospital CurrentSince Jun 4, 2019 Accepting new patients

Locations

201 E Parker McKenzie Dr
Anadarko, OK 73005
Phone (405) 247-7900

1515 NE Lawrie Tatum Rd
Lawton, OK 73507
Phone (580) 353-0350

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1932219342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18120 COWBELL CT",
            "city": "ROWLAND HEIGHTS",
            "state": "CA",
            "postal_code": "917484758"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3144 SANTA ANITA AVE",
            "city": "EL MONTE",
            "state": "CA",
            "postal_code": "917331316",
            "telephone_number": "626-582-7956"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARSHALL",
        "first_name": "ELSA",
        "middle_name": "LUISA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "G37762",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Monte, CA

Sources for this page

Verify at the official NPI Registry.