LILLY ROSE MARSHALL MEDICAL CORP. (NPI# 1174723134) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174723134 |
| Entity Type | Organization |
| Organization Name | LILLY ROSE MARSHALL MEDICAL CORP. |
| Practice Address |
23501 Cinema Dr Ste 100 Valencia CA 91355-5429 |
| Practice Telephone | 6612552880 |
| Mailing Telephone | 6612552880 |
| Enumeration Date | 2007-07-18 |
| Last Update Date | 2007-07-18 |
| Authorized Official Name | LILLY ROSE MARSHALL (OWNER) |
| Authorized Official Telephone | 6612552880 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207PE0004X |
Emergency Medicine Specialization: Emergency Medical Services |
Allopathic & Osteopathic Physicians |
| Street Address |
23501 CINEMA DR STE 100 |
| City | VALENCIA |
| State | CA |
| Zip Code | 91355-5429 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447874730 | Deborah Colleen Rheinfurth | Registered Nurse | 25727 Mcbean Parkway, Valencia, CA 91355 | 2020-06-02 |
| 1396368106 | Carla Patricia Ponce | Behavior Technician | 25115 W, Avenue Stanford Suite A100, Santa Clarita, CA 91355 | 2020-05-27 |
| 1578197661 | Kathleen Megan Murphy Cross | Counselor | 24307 Magic Mountain Pkwy, #260, Valencia, CA 91355 | 2020-02-27 |
| 1780226340 | Logan Veis | Behavior Technician | 25515 Avenue Stanford, Suite A100, Valencia, CA 91355 | 2019-10-15 |
| 1376192906 | Yosef Desta | Behavior Technician | 25115 Ave Standard, Suit A100, Valencia, CA 91355 | 2019-09-06 |
| 1063060960 | Michauni Kimbrew | Behavioral Analyst | 27502 Ave Scott, Ste A, Santa Clarita, CA 91355 | 2019-09-04 |
| 1427607357 | Alissa Meadow Myatt | Social Worker | Henry Mayo Newhall Hospital 23845 Mcbean Parkway, Valencia, CA 91355 | 2019-09-04 |
| 1124672761 | Genon Catarroja | Behavior Technician | 25115 W. Avenue Stanford Suite A100, Valencia, CA 91355 | 2019-08-01 |
| 1730675455 | Jaquelyn Marlene Escobar | Community Health Worker | 24525 Town Center Drive, Valencia, CA 91355 | 2018-07-05 |
| 1265922843 | Jomil Prenzirose Conste | Behavior Technician | 25115 Avenue M14 Suite A, Valencia, CA 91355 | 2018-05-18 |
| Find all providers in zip 91355 | ||||
| Taxonomy Code | 207PE0004X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| Specialization | Emergency Medical Services |
| 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. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A Certification of Added Qualifications (CAQ) is issued by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619576576 | Thethong P Thepvong | Emergency Medicine | 900 W Belgravia Ave, Fresno, CA 93706-3909 | 2020-10-21 |
| 1003441148 | Heather K Mineo | Emergency Medicine | 1908 Spahn Ln, Placentia, CA 92870-2844 | 2020-03-10 |
| 1407497837 | Jaskaranpreet Kaur Sahota | Emergency Medicine | 426 4th Street, Marysville, CA 95901 | 2019-10-07 |
| 1215493515 | Karla Beatriz Sonnier | Emergency Medicine | 17822 Cardiff Cir, Huntington Beach, CA 92649-4807 | 2019-02-12 |
| 1568992923 | American Specialty Physicians Group Inc | Emergency Medicine | 700 17th St Ste 205, Modesto, CA 95354-1249 | 2017-06-18 |
| 1841659067 | George Michael Savage | Emergency Medicine | 2600 Bridge Parkway, Proteus Digital Health, Redwood City, CA 94065 | 2016-02-16 |
| 1053779553 | Robert Alan Hochman | Emergency Medicine | 526 Firecrest Court, Newbury Park, CA 91320-5022 | 2016-01-29 |
| 1578954319 | Amerco Health Enterprise, Inc | Emergency Medicine | 1006 E Bastanchury Rd, Fullerton, CA 92835-2782 | 2015-02-16 |
| 1134543945 | Francine Vogler | Emergency Medicine | 22631 Pacific Coast Highway, #796, Malibu, CA 90265 | 2014-02-13 |
| 1396081659 | Kent Benedict | Emergency Medicine | 3283 Valencia Ave, Aptos, CA 95003-4122 | 2012-12-13 |
| Find all providers with the same taxonomy | ||||
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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.