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BRENDA ANN MARSHALL MD NPI 1407979842


NPI Information

NPI: 1407979842
Provider Name: BRENDA ANN MARSHALL, MD
Classification: General Practice - 208D00000X
Entity Type: Individual

PECOS Registration: Yes

Address:
11622 EL CAMINO REAL STE 100
SAN DIEGO, CA
ZIP 92130
Phone: (858) 663-7699
Get Directions

Brenda Ann Marshall, MD is a general practice in San Diego, CA. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee Brenda Ann Marshall, MD NPI is 1407979842. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

11622 EL CAMINO REAL STE 100
SAN DIEGO, CA
ZIP 92130-051
Phone: (858) 663-7699
Fax: (858) 764-2405

The NPI 1407979842 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 4/9/2007 and was last updated on 11/22/2019.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily MedicineG75014CALIFORNIANo
2207QA0505XFamily MedicineAdult MedicineG75014CALIFORNIANo
3208D00000XGeneral PracticeG75014CALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.