EDUARDO JOSE MARIN JR. (NPI# 1295191336) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295191336 |
| Entity Type | Individual |
| Full Name | EDUARDO JOSE MARIN JR. |
| Practice Address |
360 Whiskey Hill Rd La Selva Beach CA 95076-8521 |
| Practice Telephone | 8317249333 |
| Mailing Telephone | 8317249333 |
| Enumeration Date | 2016-01-05 |
| Last Update Date | 2016-01-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | SANTA CRUZ COUNTY MEDICARE GROUP PTAN# | ZZZ91892Z | 01 |
| Street Address |
360 WHISKEY HILL RD |
| City | LA SELVA BEACH |
| State | CA |
| Zip Code | 95076-8521 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457577173 | Gabriel Orejel | Counselor | 360 Whiskey Hill Rd, La Selva Beach, CA 95076-8521 | 2007-04-18 |
| 1629520382 | Sarai Jimenez | Counselor | 360 Whiskey Hill Rd, La Selva Beach, CA 95076-8521 | 2016-10-28 |
| 1003295486 | Veronica Santana | Counselor | 360 Whiskey Hill Rd, La Selva Beach, CA 95076-8521 | 2015-05-19 |
| 1700278041 | Mayra Gutierrez | Counselor | 360 Whiskey Hill Rd, La Selva Beach, CA 95076-8521 | 2015-02-24 |
| 1467688788 | Jasmine Wolf | Counselor | 360 Whiskey Hill Rd, La Selva Beach, CA 95076-8521 | 2009-06-01 |
| 1184869117 | Katherine Angelina Loomis | Counselor | 360 Whiskey Hill Rd, La Selva Beach, CA 95076-8521 | 2008-12-04 |
| 1497900112 | Dafnne Breitler | Counselor | 360 Whiskey Hill Rd, La Selva Beach, CA 95076-8521 | 2008-11-21 |
| 1730337403 | Ann Eliza Murray | Counselor | 360 Whiskey Hill Rd, La Selva Beach, CA 95076-8521 | 2008-09-05 |
| 1871759308 | Quentin Trumaine Boston | Counselor | 360 Whiskey Hill Rd, La Selva Beach, CA 95076-8521 | 2008-08-04 |
| 1669633350 | Oriana Lakshmi Potter | Counselor | 360 Whiskey Hill Rd, La Selva Beach, CA 95076-8521 | 2008-06-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841757515 | Vicky E Gonzalez | Case Manager/Care Coordinator | 2714 Freedom Blvrd, Watsonville, CA 95076 | 2019-02-28 |
| 1861987059 | Encompass Community Services | Community/Behavioral Health | 2714 Freedom Blvd., Freedom, CA 95076 | 2018-06-29 |
| 1134617798 | Haven of Hope, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 107 Pauline Dr, Watsonville, CA 95076 | 2018-04-28 |
| 1346743911 | Kathleen Long | Physician Assistant | 2468, 75 Nielson St, Watsonville, CA 95076 | 2018-03-09 |
| 1811403603 | Hieu Thi Thanh Nguyen Boulom | Pharmacist | 2810 Freedom Blvd, Watsonview, CA 95076 | 2017-12-16 |
| 1649798398 | Jonathon Rank | Counselor | 335 East Lake Ave, Watsonville, CA 95076 | 2017-09-01 |
| 1841653318 | Cristina Guzman | Registered Nurse | 195 Aviation Way, Ste 200, Watsonville, CA 95076 | 2016-04-01 |
| 1013388974 | Salud Para La Gente | Clinic/Center | 195 Aviation Way, Suite 200, Watsonville, CA 95076 | 2015-10-16 |
| 1386025757 | Yaseer Yousuf Parupia | Podiatrist | 47 Penny Lane, Suite 1, Watsonville, CA 95076 | 2015-06-11 |
| 1093100935 | Diana Perezchica | Counselor | 20716 Freedom Blv, Watsonville, CA 95076 | 2015-03-30 |
| Find all providers in zip 95076 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285916742 | Annielou O Ramirez | Counselor | 360 Whiskeyhill Rd, La Selva Beach, CA 95076 | 2011-09-12 |
| 1457577173 | Gabriel Orejel | Counselor | 360 Whiskey Hill Rd, La Selva Beach, CA 95076-8521 | 2007-04-18 |
| 1629520382 | Sarai Jimenez | Counselor | 360 Whiskey Hill Rd, La Selva Beach, CA 95076-8521 | 2016-10-28 |
| 1003295486 | Veronica Santana | Counselor | 360 Whiskey Hill Rd, La Selva Beach, CA 95076-8521 | 2015-05-19 |
| 1700278041 | Mayra Gutierrez | Counselor | 360 Whiskey Hill Rd, La Selva Beach, CA 95076-8521 | 2015-02-24 |
| 1649408915 | Jimmy Nelson | Counselor | 9c Marea Ave, La Selva Beach, CA 95076-1726 | 2009-06-25 |
| 1467688788 | Jasmine Wolf | Counselor | 360 Whiskey Hill Rd, La Selva Beach, CA 95076-8521 | 2009-06-01 |
| 1992947253 | Patrice Bayer | Counselor | 9c Marea Ave, La Selva Beach, CA 95076-1726 | 2009-04-01 |
| 1265679732 | Henry Guzman | Counselor | 9c Marea Ave, La Selva Beach, CA 95076-1726 | 2009-01-20 |
| 1447497581 | Timothy Babione | Counselor | 9 Marea Ave, La Selva Beach, CA 95076-1726 | 2009-01-12 |
| Find all providers in LA SELVA BEACH | ||||
| City | LA SELVA BEACH |
| Zip Code | 95076 |
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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.