DR. MARC WARREN JUDD (NPI# 1124025218) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124025218 |
| Entity Type | Individual |
| Full Name | DR. MARC WARREN JUDD |
| Credential | M.D. |
| Practice Address |
301 Science Dr Suite 190 Moorpark CA 93021-2094 |
| Practice Telephone | 8055319400 |
| Practice Fax Number | 8055319499 |
| Mailing Telephone | 8055319400 |
| Mailing Fax Number | 8055319499 |
| Enumeration Date | 2005-07-05 |
| Last Update Date | 2012-09-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | A66629 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | STATE LICENSE | A66629 | 01 |
| Street Address |
301 SCIENCE DR SUITE 190 |
| City | MOORPARK |
| State | CA |
| Zip Code | 93021-2094 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184009250 | Dawn Chandler | Marriage & Family Therapist | 301 Science Dr, Suite 120, Moorpark, CA 93021-2094 | 2015-07-29 |
| 1649537721 | Ed Green Chiropractic, A Professional Corporation | Clinic/Center | 301 Science Dr, #100, Moorpark, CA 93021-2094 | 2012-04-13 |
| 1891085155 | Karen Aleece Barbi | Psychologist | 301 Science Dr, Suite 180, Moorpark, CA 93021-2094 | 2011-04-07 |
| 1356630602 | Aimee Elizabeth Anderson | Psychologist | 301 Science Dr, Suite 180, Moorpark, CA 93021-2094 | 2011-04-06 |
| 1508196056 | Edward B Green | Chiropractor | 301 Science Dr, #100, Moorpark, CA 93021-2094 | 2010-01-06 |
| 1548407158 | Kathleen Regina Reazer | Marriage & Family Therapist | 301 Science Dr, #235, Moorpark, CA 93021-2094 | 2009-01-20 |
| 1295904936 | Moorpark Family Medicine Inc | Family Medicine | 301 Science Dr, Suite #190, Moorpark, CA 93021-2094 | 2008-02-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780296608 | Monica Ramos | Optometrist | 766 W Los Angeles Ave D-3, Moorpark, CA 93021 | 2020-08-21 |
| 1356964761 | Allen Taniguchi | Pharmacist | 12476 Spring Creek Rd, Moorpark, CA 93021 | 2020-05-20 |
| 1538701735 | Lynda L. Bickerstaff | Technician | 6439 Cornell Circle, Moorpark, CA 93021 | 2019-10-09 |
| 1801280615 | Rebecca Solares | Marriage & Family Therapist | 301 Science Dr. Ste 235, Moorpark, CA 93021 | 2015-03-19 |
| 1316347792 | Exovie,llc | Durable Medical Equipment & Medical Supplies | 680 Flinn Ave Ste 38, Moorpark, CA 93021 | 2014-09-04 |
| 1982975280 | Niloufar Parya Hosseini | Pharmacist | 12204 Palmer Drive, Moorpark, CA 93021 | 2012-01-18 |
| 1790081966 | Pdap of Ventura County, Inc. | Community/Behavioral Health | 12039 Hertz Street, Moorpark, CA 93021 | 2011-02-04 |
| 1457541708 | John E. Trachsel A Chiropractic Corp. | Chiropractor | 14711 Princeton Ave., Suite #13, Moopark, CA 93021 | 2007-08-01 |
| 1790998193 | Jedediah Huss Dental Corporation | Dentist | 718 Los Angeles Ave, Suite 3, Moorpark, CA 93021 | 2007-05-08 |
| 1477606945 | Kimberly A Tedder | Optometrist | 766 Los Angeles Ave, Suite D3, Moorpark, CA 93021 | 2007-01-19 |
| Find all providers in zip 93021 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.