Candido Manuel Marquez

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

Practice address

641 Broadway St
King City, CA 93930-3231

Phone

(831) 525-8181

Fax

(831) 525-8130

NPI assigned

Nov 28, 2022

Sex

Male

Sole proprietor

Yes

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.

• Sun Street Centers

  • Substance Abuse Rehabilitation Facility
  • King City, CA
  • NPI 1265923437
  NPD (past)

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Nov 28, 2022.

{
    "created_epoch": "1669593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669593600000",
    "number": "1962112367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1324 MONTEREY ST",
            "city": "SOLEDAD",
            "state": "CA",
            "postal_code": "939602922",
            "telephone_number": "831-525-8101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "641 BROADWAY ST",
            "city": "KING CITY",
            "state": "CA",
            "postal_code": "939303231",
            "telephone_number": "831-525-8181",
            "fax_number": "831-525-8130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARQUEZ",
        "first_name": "CANDIDO",
        "middle_name": "MANUEL",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-11-28",
        "last_updated": "2022-11-28",
        "certification_date": "2022-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kayla Marie Macias
• Robert C Mackin, O.D.
• Yaneli Maldonado
• Ramiro Mancias, D.D.S
• Miguel Mandujano
• Elisa Martinez-Florez
• Laura Martinez, REG ADDICTION SPEC
• Xochitl Mayorga
• Richard Allen McCombs, MFT
• Donna Lynn McInnis, SLP

• All providers in King City, CA
• Addiction (Substance Use Disorder) Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.