MARLON BROOKS (NPI# 1346278587) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346278587 |
| Entity Type | Individual |
| Full Name | MARLON BROOKS |
| Credential | MD |
| Practice Address |
10515 Balboa Blvd Suite 160 Granada Hills CA 91344-6343 |
| Practice Telephone | 8188316611 |
| Practice Fax Number | 8188313836 |
| Mailing Telephone | 8188316611 |
| Mailing Fax Number | 8188313836 |
| Enumeration Date | 2006-06-28 |
| Last Update Date | 2014-11-14 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207VX0000X |
Obstetrics & Gynecology Specialization: Obstetrics |
G71729 | CA | Allopathic & Osteopathic Physicians |
| Y | 207VF0040X |
Obstetrics & Gynecology Specialization: Female Pelvic Medicine and Reconstructive Surgery |
G71729 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 00G717291 | 05 |
| Street Address |
10515 BALBOA BLVD SUITE 160 |
| City | GRANADA HILLS |
| State | CA |
| Zip Code | 91344-6343 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841290400 | Steven Charles Shoham | Pediatrics | 10515 Balboa Blvd, Suite 360, Granada Hills, CA 91344-6343 | 2005-07-26 |
| 1972053288 | Karla Del Rosario Torres | Case Manager/Care Coordinator | 10515 Balboa Blvd, Granada Hills, CA 91344-6343 | 2016-10-11 |
| 1245619360 | Karlu Tan | Physical Therapist | 10515 Balboa Blvd, 285, Granada Hills, CA 91344 | 2015-05-21 |
| 1043603400 | Deshawn Michael Roberson | Physician Assistant | 10515 Balboa Blvd, Suite 285, Granada Hills, CA 91344-6343 | 2015-03-10 |
| 1942544648 | Aron L Rotman, M.d. A Professional Corp | Internal Medicine | 10515 Balboa Blvd, 200, Granada Hills, CA 91344-6343 | 2012-11-19 |
| 1902175813 | Hong Nhung Thi Truong | Counselor | 10515 Balboa Blvd, Suite 376, Granada Hills, CA 91344-6343 | 2011-12-21 |
| 1609156447 | James D. Thomas, M.d. P C | Specialist | 10515 Balboa Blvd, 200, Granada Hills, CA 91344-6343 | 2011-08-24 |
| 1972824027 | Valley Physical Therapy Services, Inc | Clinic/Center | 10515 Balboa Blvd, 285, Granada Hills, CA 91344-6343 | 2010-06-11 |
| 1851622047 | Milagro Cunningham | Counselor | 10515 Balboa Blvd, Granada Hills, CA 91344-6343 | 2010-01-27 |
| 1952637175 | Clarisse Figueroa Felipe | Registered Nurse | 10515 Balboa Blvd, Suite 376, Granada Hills, CA 91344-6343 | 2009-10-22 |
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| 1225503543 | Miguel Angel Salas | Naturopath | 10315 Woodley Ave., Suite 103 & 104, Granada Hills, CA 91344 | 2018-10-13 |
| 1790264588 | Ben Maguerrero | Respiratory Therapist, Registered | 16851 Simonds St, Granada Hills, CA 91344 | 2018-08-13 |
| 1265962856 | Safe Med Tranz Inc. | Non-emergency Medical Transport (VAN) | 16000 Horace St, Granada Hills, CA 91344 | 2017-06-15 |
| 1942731302 | Arthur Perez | Physical Therapy Assistant | 11233 Montgomery Ave., Granada Hills, Granada Hills, CA 91344 | 2017-03-27 |
| 1649718990 | Eugene Tan Aguilar | Nurse Practitioner | 16718 San Fernando Mission Blvd, Granada Hills, CA 91344 | 2017-02-07 |
| 1295282739 | San Fernando Mission Group Home | Residential Treatment Facility, Emotionally Disturbed Children | 17157 San Fernando Mission Blvd., Granada Hills, CA 91344 | 2016-09-01 |
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| Taxonomy Code | 207VF0040X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| Specialization | Female Pelvic Medicine and Reconstructive Surgery |
| A subspecialist in Female Pelvic Medicine and Reconstructive Surgery is a physician in Urology or Obstetrics and Gynecology who, by virtue of education and training, is prepared to provide consultation and comprehensive management of women with complex benign pelvic conditions, lower urinary tract disorders, and pelvic floor dysfunction. Comprehensive management includes those diagnostic and therapeutic procedures necessary for the total care of the patient with these conditions and complications resulting from them. |
| Notes: Source: American Board of Medical Specialties, 2011. [1/1/2012: new] Resources: www.abms.org |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225503618 | Women's Center for Pelvic Wellness | Obstetrics & Gynecology | 50 Alessandro Pl Ste 420, Pasadena, CA 91105-3173 | 2018-10-11 |
| 1861865479 | Pacific Gynecology Surgical Group Inc | Obstetrics & Gynecology | 2100 Webster St Ste 518, San Francisco, CA 94115-2382 | 2015-11-04 |
| 1003230673 | Gail Hebel | Obstetrics & Gynecology | 1024 Bayside Dr, Newport Beach, CA 92660-7462 | 2014-02-18 |
| 1265708655 | Aldene Zeno | Obstetrics & Gynecology | 1516 San Pablo Street 3rd Floor, Los Angeles, CA 90089-0121 | 2012-03-29 |
| 1891081253 | Soorena Fatehchehr | Obstetrics & Gynecology | 529 E 10th St Fl 2, Long Beach, CA 90813-4508 | 2011-06-23 |
| 1740509728 | Zaid Chaudhry | Obstetrics & Gynecology | 1135 S Sunset Ave Ste 408, West Covina, CA 91790-3964 | 2010-05-31 |
| 1578716304 | Sargon Bebla Md Inc | Obstetrics & Gynecology | 1524 Mchenry Ave Ste 370, Modesto, CA 95350 | 2008-10-24 |
| 1891942512 | Christina Liao | Obstetrics & Gynecology | 1000 W Carson St # 489, Torrance, CA 90502-2004 | 2008-08-25 |
| 1124280581 | Benjamin J. Steinberg | Obstetrics & Gynecology | 7050 N Recreation Ave Ste 105, Fresno, CA 93720-8001 | 2008-06-27 |
| 1033266879 | Mariann Alperin | Obstetrics & Gynecology | 9350 Campus Point Drive, Ste 2a, Mc 0974, Ucsd Women's Pelvic Medicine, La Jolla, CA 92037 | 2007-01-04 |
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| City | GRANADA HILLS |
| Zip Code | 91344 |
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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.