DR. WILLIAM MARSHALL MD, NPI 1568496107 — LOS ANGELES (CA)

NPI 1568496107

13+ Years Experience Individual

DR. WILLIAM MARSHALL MD

07.10.2006
PROVIDER ENUMERATION DATE
07.08.2007
LAST UPDATE DATE
1568496107
NPI NUMBER

About DR. WILLIAM MARSHALL

Sole proprietor? Yes, Entity Type 1 Provider (Individual) is a Sole Proprietor.

DR. WILLIAM MARSHALL is a provider established in LOS ANGELES, CA. The NPI number of DR. WILLIAM MARSHALL is 1568496107 and was assigned on 07.10.2006. The practitioners primary taxonomy code is: 207PE0004X with license number: 26114 CT .

Mailing address

  • City: SIERRA MADRE
  • State: CA
  • Postal code: 910241534
  • Phone: 6268360340
  • Fax: 6268360340
  • Address: 1921 LILIANO PL

Primary Practice Address

  • Region : LOS ANGELES, CA
  • NPI : 1568496107
  • Phone : 3104783711
  • Postalcode : 90073
  • Address : 11301 WILSHIRE BLVD.

Provider taxonomy - Emergency Medicine

  • Taxonomy code: 207PE0004X
  • License number: 26114
  • License state: CT

The taxonomy is the primary taxonomy (there can be only one per NPI record).

Taxonomy description: An emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients.

Contacts:

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  • DR. WILLIAM MARSHALL MD
  • Address : 11301 WILSHIRE BLVD.
  • Region : LOS ANGELES, CA
  • NPI : 1568496107
  • Phone : 3104783711
  • Postalcode : 90073

Reference NPI Information. Full replica of the CMS (NPPES) NPI record

Field Name Value
Provider First Line Business Practice Location Address11301 WILSHIRE BLVD.
The first line location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Provider Business Practice Location Address City NameLOS ANGELES
The city name in the location address of the provider being identified.
Provider Business Practice Location Address State NameCA
The State or Province name in the location address of the provider being identified.
Provider Business Practice Location Address Postal Code90073
The postal ZIP or zone code in the location address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available.
Provider Business Practice Location Address Telephone Number3104783711
The telephone number associated with the location address of the provider being identified.
NPI1568496107
10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider.
Healthcare Provider Taxonomy 1207PE0004X
An emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients.
Provider Enumeration Date07.10.2006
The date the provider was assigned a unique identifier (assigned an NPI).
Last Updated07.08.2007
The date that a record was last updated or changed.
Entity TypeIndividual
Code describing the type of health care provider that is being assigned an NPI. Codes are:
  • 1 = (Person): individual human being who furnishes health care;
  • 2 = (Non-person): entity other than an individual human being that furnishes health care (for example, hospital, SNF, hospital subunit, pharmacy, or HMO).
Provider Organization Name (Legal Business Name)DR. WILLIAM MARSHALL
Provide organization name (legal business name used to file tax returns with the IRS). The Organization Name field allows the following special characters: ampersand, apostrophe, "at" sign, colon, comma, forward slash, hyphen, left and right parentheses, period, pound sign, quotation mark, and semi-colon. A field cannot contain all special characters.
Provider First Line Business Mailing Address1921 LILIANO PL
The first line mailing address of the provider being identified. This data element may contain the same information as "Provider first line location address".
Provider Business Mailing Address City NameSIERRA MADRE
The City name in the mailing address of the provider being identified. This data element may contain the same information as "Provider location address City name".
Provider Business Mailing Address State NameCA
The State or Province name in the mailing address of the provider being identified. This data element may contain the same information as "Provider location address State name".
Provider Business Mailing Address Postal Code910241534
The postal ZIP or zone code in the mailing address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available. This data element may contain the same information as "Provider location address postal code".
Provider Business Mailing Address Telephone Number6268360340
The telephone number associated with mailing address of the provider being identified. This data element may contain the same information as "Provider location address telephone number".
Provider Business Mailing Address Fax Number6268360340
The fax number associated with the mailing address of the provider being identified. This data element may contain the same information as "Provider location address fax number".
Healthcare Provider Taxonomy Code #1207PE0004X
The Health Care Provider Taxonomy code is a unique alphanumeric code, ten characters in length. The code set is structured into three distinct "Levels" including Provider Type, Classification, and Area of Specialization.
Healthcare Provider Taxonomy 1Emergency Medicine
An emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients.
Provider License Number 126114
Certain taxonomy selections will require you to enter your license number and the state where the license was issued. Select Foreign Country in the state drop down box if the license was issued outside of United States. The License Number field allows the following special characters: ampersand, apostrophe, colon, comma, forward slash, hyphen, left and right parentheses, period, pound sign, quotation mark, and semi-colon. A field cannot contain all special characters. DO NOT report the Social Security Number (SSN), IRS Individual Taxpayer Identification Number (ITIN) in this section.
Provider License Number State Code 1CT
Healthcare Provider Primary Taxonomy Switch 1Y
Primary Taxonomy:
  • X - The primary taxonomy switch is Not Answered;
  • Y - The taxonomy is the primary taxonomy (there can be only one per NPI record);
  • N - The taxonomy is not the primary taxonomy.
Provider Gender CodeM
  • M - male
  • F - female
Is sole proprietorY
  • X - Not Answered
  • Y - Yes, Entity Type 1 Provider (Individual) is a Sole Proprietor
  • N - No, Entity Type 1 Provider (Individual) is not a Sole Proprietor
X

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