Active NPI
Paul Demarco, NPC
- Nurse Practitioner
- Rosemead, CA
National Provider Identifier
1972512820
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- NP14428
- Practice address
- 4619 Rosemead Blvd
Rosemead, CA 91770-1478 - Phone
- (626) 286-1191
- Fax
- (626) 229-9867
- NPI assigned
- Aug 7, 2006
- Last updated
- Jun 15, 2020
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | NP14428 | CA | Primary |
Addresses
Primary practice location
4619 Rosemead Blvd
Rosemead, CA 91770-1478
Mailing address
PO Box 1849
Monrovia, CA 91017-5849
Phone (626) 408-5927
Other practice location 1
5353 G St
Chino, CA 91710-5249
Phone (909) 590-3700
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| NP14428 | CA | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rudy Chavez MD Inc | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Hospitalist Physician
- Monrovia, CA
- NPI 1912378324
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154908800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1592179200000",
"number": "1972512820",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1849",
"city": "MONROVIA",
"state": "CA",
"postal_code": "910175849",
"telephone_number": "626-408-5927",
"fax_number": "626-358-0332"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4619 ROSEMEAD BLVD",
"city": "ROSEMEAD",
"state": "CA",
"postal_code": "917701478",
"telephone_number": "626-286-1191",
"fax_number": "626-229-9867"
}
],
"practiceLocations": [
{
"address_1": "5353 G St",
"address_purpose": "LOCATION",
"city": "Chino",
"state": "CA",
"postal_code": "917105249",
"country_code": "US",
"telephone_number": "909-590-3700",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DEMARCO",
"first_name": "PAUL",
"name_prefix": "Mr.",
"credential": "NPC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-07",
"last_updated": "2020-06-15",
"certification_date": "2020-06-15",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "CA",
"license": "NP14428",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rosemead, CA
- Christina De Vanhoof, MSW
- De-Yi Chinese Herb & Acupuncture Clinic
- Del Mar Health Clinic, a Professional Acupuncture Corp.
- Ashly Delgadillo
- Laura Andrea Delgadillo
- Dental Practice of Hannah Hongnga Vo, Inc., (Preferred Dental Specialists)
- Arianna Diaz
- Ying Ding
- Dinh Chiropractic Corp
- Christine Huongbuu Dinh, M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2020; 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.