Active NPI
Eduardo Jose Marcus, PA
- Physician Assistant
- Salinas, CA
National Provider Identifier
1962564708
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA20186
- Practice address
- 1441 Constitution Blvd BLDG 151
# 202
Salinas, CA 93906-3100 - Phone
- (831) 769-8640
- Fax
- (831) 769-8640
- NPI assigned
- Dec 15, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA20186 | CA | Primary |
Addresses
Primary practice location
1441 Constitution Blvd BLDG 151
# 202
Salinas, CA 93906-3100
Mailing address
1110 La Terrace Cir
San Jose, CA 95123-5351
Phone (408) 323-9810
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20181214002769 | CA | Order and Referring Only - Physician Assistant | 2365592052 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20186 | CA | MD | Speech-Language Pathologist |
| PA20186 | CA | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Monterey County Behavioral Health Division | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Community/Behavioral Health Agency
- Salinas, CA
- NPI 1730211178
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166140800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1410220800000",
"number": "1962564708",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1110 LA TERRACE CIR",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951235351",
"telephone_number": "408-323-9810"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1441 CONSTITUTION BLVD BLDG 151",
"address_2": "# 202",
"city": "SALINAS",
"state": "CA",
"postal_code": "939063100",
"telephone_number": "831-769-8640",
"fax_number": "831-769-8640"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARCUS",
"first_name": "EDUARDO",
"middle_name": "JOSE",
"name_prefix": "Mr.",
"credential": "PA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-12-15",
"last_updated": "2014-09-09",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CA",
"license": "PA20186",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Salinas, CA
- Mary Elizabeth Marble, NP-C
- Marc Lieberman MD a Professional Corporation
- Paul Marchand, M.D.
- Rosa E Marchebout
- Joseph James Marchionna, O.D.
- Connor Jay Marden
- Maria Theresa Gatchalian Mariano, M.D.
- Jasmin Marisol Marin
- Mark Kimes DC Chiropractic Inc
- Mark R Velcoff M.D. and Steven S Prager M.D., a Professional Corporati
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2014; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.