CHRISTOPHER JULIAN MARROCCO (NPI# 1124208459) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124208459 |
| Entity Type | Individual |
| Full Name | CHRISTOPHER JULIAN MARROCCO |
| Credential | MD |
| Practice Address |
3680 E Imperial Hwy Suite 502 Lynwood CA 90262-2659 |
| Practice Telephone | 5626980271 |
| Practice Fax Number | 5626987467 |
| Mailing Telephone | 5626980271 |
| Mailing Fax Number | 5626987467 |
| Enumeration Date | 2007-11-03 |
| Last Update Date | 2014-08-05 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208600000X | Surgery | A94282 | CA | Allopathic & Osteopathic Physicians |
| Y | 2086S0129X |
Surgery Specialization: Vascular Surgery |
N7138 | TX | Allopathic & Osteopathic Physicians |
| Street Address |
3680 E IMPERIAL HWY SUITE 502 |
| City | LYNWOOD |
| State | CA |
| Zip Code | 90262-2659 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104823814 | Ricardo Enrique Mckenzie | Internal Medicine | 3680 E Imperial Hwy, Suite 470, Lynwood, CA 90262-2659 | 2005-07-07 |
| 1326684697 | Charlene Alugbue | Counselor | 3680 E Imperial Hwy, Lynwood, CA 90262-2659 | 2019-11-21 |
| 1518450451 | Tyrone Ledford | Case Manager/Care Coordinator | 3680 E Imperial Hwy, Lynwood, CA 90262-2659 | 2018-06-13 |
| 1184130718 | Brisa Aidee Aguilar | Case Manager/Care Coordinator | 3680 E Imperial Hwy, Lynwood, CA 90262 | 2017-12-19 |
| 1588184022 | Tiffany Martinez | Case Manager/Care Coordinator | 3680 E Imperial Hwy, Lynwood, CA 90262-2659 | 2017-06-26 |
| 1942741798 | Western Dental Services, Inc. | Dentist | 3680 E Imperial Hwy, Suite 100, Lynwood, CA 90262-2659 | 2017-03-13 |
| 1033666565 | Fabby Badillo Contreras | Rehabilitation Practitioner | 3680 E Imperial Hwy, Suite 520, Lynwood, CA 90262 | 2016-09-01 |
| 1003267154 | Yvette Trujillo | Rehabilitation Practitioner | 3680 E Imperial Hwy, Lynwood, CA 90262-2659 | 2016-06-29 |
| 1407205420 | Kimberly Maldonado | Rehabilitation Practitioner | 3680 E Imperial Hwy, Lynwood, CA 90262-2659 | 2016-06-09 |
| 1699137893 | Mayra Lucas | Rehabilitation Practitioner | 3680 E Imperial Hwy, Lynwood, CA 90262-2659 | 2016-03-25 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811546062 | Sheila Maxine Wilkins | Technician | 3940 Palm Ave, Lynwood, CA 90262 | 2019-09-10 |
| 1891344669 | Chezoma Latissue Davis | Technician | 4255 Niland St, Lynwood, CA 90262 | 2019-09-05 |
| 1295223345 | Scla Comprehensive Surgical Medical Group, Inc. | Clinic/Center | 3628 E Imperial Hwy Ste 204, Lynwood, CA 90262 | 2018-04-24 |
| 1891213807 | Grecia Veronica Nunez | Case Manager/Care Coordinator | 3680 E. Imperial Highway, Suite 200, Lynwood, CA 90262 | 2017-08-30 |
| 1134643448 | Angelica Jazmin Alonso Cortes | Case Manager/Care Coordinator | 2610 Industry Way Suite A, Lynwood, CA 90262 | 2017-07-28 |
| 1134594997 | Corinne Palma | Counselor | 11705 S. Alameda St., Lynwood, CA 90262 | 2015-12-04 |
| 1891175550 | Nancy Bremmer | Counselor | 10705 S. Alameda Street, Los Angels, CA 90262 | 2015-06-08 |
| 1588041347 | Jennifer Montoya | Case Management | 5433 E. Pelleur St., Lynwood, CA 90262 | 2015-04-30 |
| 1124440060 | Susana Gyek Goy | Chiropractor | 11123 Long Beach Blvd. Suite 5, Lynwood Health Center, Lynwood, CA 90262 | 2014-01-13 |
| 1215368956 | Baart Community Healthcare | Clinic/Center | 11315 S. Atlantic Blvd., Lynwood, CA 90262 | 2013-12-05 |
| Find all providers in zip 90262 | ||||
| Taxonomy Code | 2086S0129X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Vascular Surgery |
| A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023620572 | Endovascular Surgical Associates of Los Angeles | Surgery | 3680 E Imperial Hwy Ste 502, Lynwood, CA 90262-2661 | 2020-08-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881213817 | Robert Morton Carroll X | Surgery | 2241 Century Hl, Los Angeles, CA 90067-3506 | 2020-04-09 |
| 1992341895 | Surgicalist of Ca PC | Surgery | 3300 E South St Ste 301a, Lakewood, CA 90805-4549 | 2019-11-26 |
| 1528600558 | Kevin M Casey Md Apmc | Surgery | 1919 State St # 204-206, Santa Barbara, CA 93101-2430 | 2019-10-10 |
| 1487117594 | John Nastasi | Surgery | 100 W Valencia Mesa Dr # 211, Fullerton, CA 92835-3768 | 2019-04-08 |
| 1225508385 | Jay Labourene | Surgery | 1550 G Tiburon Blvd, Tiburon, CA 94920-2531 | 2018-12-03 |
| 1467922120 | Paul Bressman Md Inc | Surgery | 1493 S Crest Dr, Los Angeles, CA 90035-3339 | 2018-11-26 |
| 1437638517 | Thousand Oaks Vein Clinic PC | Surgery | 225 N Moorpark Rd Ste C, Thousand Oaks, CA 91360-4320 | 2018-08-09 |
| 1881186377 | Lavs Access Center Inc. | Surgery | 620 W Beverly Blvd Ste B, Montebello, CA 90640-3624 | 2018-05-31 |
| 1841789328 | Sunil Rayan, M.d., Inc. | Surgery | 320 Santa Fe Dr Ste 212, Encinitas, CA 92024-5139 | 2018-05-09 |
| 1245739820 | Northridge Vascular Center A Professional Medical Corporation | Surgery | 19331 Business Center Dr Ste 102, Northridge, CA 91324-3533 | 2018-02-08 |
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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.