RICHELLE MARRACINO


Address: 5500 University Parkway, Csusb Student Health Center, San Bernardino, CA 92407
Phone: 9095377444

RICHELLE MARRACINO (NPI# 1861602021) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1861602021
Entity Type Individual
Full Name RICHELLE MARRACINO
Credential M.D.
Practice Address 5500 University Parkway
Csusb Student Health Center
San Bernardino
CA 92407
Mailing Address Po Box 7100
Redlands
CA 92375-0100
Practice Telephone 9095377444
Practice Fax Number 9095377027
Mailing Telephone 9095377444
Mailing Fax Number 9095377027
Enumeration Date 2007-05-23
Last Update Date 2014-06-17
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207QA0505X Family Medicine
Specialization: Adult Medicine
A67463 CA Allopathic & Osteopathic Physicians

Office Location

Street Address 5500 UNIVERSITY PARKWAY
CSUSB STUDENT HEALTH CENTER
City SAN BERNARDINO
State CA
Zip Code 92407

Providers in the same location

NPI Name Taxonomy Address Enumeration
1952425316 Yolanda A Mickevicius Ruokis Internal Medicine 5500 University Parkway, California State University San Bernardino Student Hlth, San Bernardino, CA 92407-2397 2007-03-19
1881142578 Yolanda Nunez Community/Behavioral Health 5500 University Parkway, San Bernardino, CA 92407-2397 2016-09-12
1750608774 Everett K. Kang Family Medicine 5500 University Parkway, Csusb Student Health Center, San Bernardino, CA 92407-2397 2010-04-29

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1639789233 Luis Enrique Macias Case Manager/Care Coordinator 26967 Beaumont Ave., Redlands Ca 92373, San Bernardino, CA 92407 2020-08-07
1619526209 Louise E Curran Social Worker 6395 N Azalea Ave, San Bernardino, CA 92407 2019-09-06
1619496049 Portia Monique Jackson Licensed Vocational Nurse 1022 Sunbrook Dr., San Bernardino, CA 92407 2017-09-18
1568988467 Jon Michael Hensley Behavior Technician 1638 Windsor Street, San Bernardino, CA 92407 2017-08-22
1063933349 Priority Rounds Transport, L.l.c Non-emergency Medical Transport (VAN) 18245 Evening Primrose Ln, San Bernardino, CA 92407 2017-06-27
1760927263 Denkorach Inc In Home Supportive Care 1265 Kendall Drive, Unit 1614, San Bernardino, CA 92407 2016-12-20
1558606517 Pradeep Amin Pharmacist 4150 N Sierra Way, San Bernardino, CA 92407 2012-12-03
1811231384 Lucindy Thomasina Fuller Rehabilitation Practitioner 1265 Kendall Dr, San Bernardino, CA 92407 2012-11-21
1578793337 Shareela Marie Allen Social Worker 6791 N. Ofeila Drive, San Bernardino, CA 92407 2009-07-15
1720239304 Alejandro Paul Holguin Social Worker 6076 Norma Ln, San Bernardino, CA 92407 2008-10-01
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Taxonomy Information

Taxonomy Code 207QA0505X
Grouping Allopathic & Osteopathic Physicians
Classification Family Medicine
Specialization Adult Medicine

Taxonomy Definition

Definition to come.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1790237485 Kate Donkor Family Medicine 2564 Winston Ct, San Bernardino, CA 92408 2016-10-27
1215182803 Gospha G, Campbell Md Inc Family Medicine 1850 S Waterman Ave # F, San Bernardino, CA 92408-2877 2008-11-24
1689166241 Premier Senior Medical Group of San Bernardino, Inc. Family Medicine 284 E Highland Ave, San Bernardino, CA 92404-3706 2018-05-30
1538592506 Abigail Soto Family Medicine 598 N F St, San Bernardino, CA 92410-3110 2013-08-14
1801094149 Mill-waterman Medical Corporation Family Medicine 385 E Mill St Ste 13, San Bernardino, CA 92408-1545 2007-07-09

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1306446091 Candace Maglinao Family Medicine 21010 Anza Ave Apt 12, Torrance, CA 90503-4254 2020-10-30
1942826797 In-home Medical Mobile Services, Inc. Family Medicine 3400 E 8th St Ste 202, National City, CA 91950-3169 2020-06-17
1386269306 Universal Mobile Doctors Inc Family Medicine 15333 Sherman Way Ste P, Van Nuys, CA 91406-4204 2020-06-16
1619597671 Harry Eisenbach Family Medicine 9312 Smoketree Ln, Villa Park, CA 92861-1011 2020-04-20
1669092854 Wellbeing Clinic Inc Family Medicine 1621 S New Hampshire Ave, Los Angeles, CA 90006-4513 2020-04-17
1619513611 Krista Mckinney Family Medicine 344o E. La Palma Avenue, Anaheim, CA 92806 2019-11-25
1457995565 Ucsf Medical Group Business Services Family Medicine 1100 Park Pl Ste 100, San Mateo, CA 94403-7119 2019-10-31
1780237313 Charles Kim Md Inc Family Medicine 3055 W Orange Ave Ste 204, Anaheim, CA 92804-3154 2019-07-23
1083277206 Baum 5 Star Healthcare Family Medicine 560 W Grangeville Blvd Ste A, Hanford, CA 93230-2858 2019-04-15
1477025278 Connexus Family Clinic Inc Family Medicine 1930 E. Anaheim Street, N/a, Long Beach, CA 90813-3908 2018-12-19
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Competitor

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City SAN BERNARDINO
Zip Code 92407

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Dataset Information

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.

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