TRACY PATRICIA MARIEN (NPI# 1902033517) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902033517 |
| Entity Type | Individual |
| Full Name | TRACY PATRICIA MARIEN |
| Credential | M.D. |
| Practice Address |
1400 E Palomar St Chula Vista CA 91913-1800 |
| Practice Telephone | 6194461530 |
| Mailing Telephone | 6194461530 |
| Enumeration Date | 2009-06-22 |
| Last Update Date | 2016-08-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208800000X | Urology | A143473 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
1400 E PALOMAR ST |
| City | CHULA VISTA |
| State | CA |
| Zip Code | 91913-1800 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205823929 | Farschad K Birdjandi | Internal Medicine | 1400 E Palomar St, Chula Vista, CA 91913-1800 | 2005-09-29 |
| 1932662707 | David Chung | Physical Therapist | 1400 E Palomar St, Chula Vista, CA 91913-1800 | 2019-04-09 |
| 1487170494 | Ashley See | Physical Therapist | 1400 E Palomar St, Chula Vista, CA 91913-1800 | 2017-08-22 |
| 1891145249 | Rhian Hardee | Speech-Language Pathologist | 1400 E Palomar St, Chula Vista, CA 91913-1800 | 2016-06-16 |
| 1154708378 | Susy Grajeda Tsuruta | Pediatrics | 1400 E Palomar St, Chula Vista, CA 91913 | 2015-04-27 |
| 1568859411 | Sheri Ann Borbon Cameron | Internal Medicine | 1400 E Palomar St, Chula Vista, CA 91913 | 2015-04-17 |
| 1457743080 | Jerald Lee Nickelson | Pharmacist | 1400 E Palomar St, Chula Vista, CA 91913-1800 | 2015-02-18 |
| 1700284817 | Jocelyn Tam | Pharmacist | 1400 E Palomar St, Chula Vista, CA 91913-1800 | 2014-12-05 |
| 1023416104 | Richard Bonnoront | Pharmacist | 1400 E Palomar St, Chula Vista, CA 91913-1800 | 2014-12-05 |
| 1003213141 | Michael Elyea | Pharmacist | 1400 E Palomar St, Chula Vista, CA 91913-1800 | 2014-12-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134774342 | Tiffany Sheffield | Physical Therapist | 1392 E Palomar Street, Suite 503, Chula Vista, CA 91913 | 2019-08-05 |
| 1710457379 | Jacqueline Rae Dagostino | Physical Therapist | 1392 E Palomar St Suite 503, Chula Vista, CA 91913 | 2018-11-27 |
| 1750806840 | Evette Pablo | Registered Nurse | 904 Saint Germain Road, Chula Vista, CA 91913 | 2017-08-09 |
| 1760912364 | Ferdinand San Jose | Registered Nurse | 1954 Marquis Court, Chula Vista, CA 91913 | 2017-06-15 |
| 1447640693 | Ian Christopher So Ignacio | Occupational Therapy Assistant | 1575 Golden Gate Ave, Chula Vista, CA 91913 | 2015-01-27 |
| 1396154274 | Helen Moreno | Dentist | 2009 Chardonnay Terrace, Chula Vista, CA 91913 | 2014-08-05 |
| 1801232236 | Edgar N Ibay | Military Health Care Provider | 1992 Caminito De La Cruz, Chula Vista, CA 91913 | 2013-05-13 |
| 1699093765 | Medical Logistics Management Inc. | Ambulance | 3130 Bonita Rd., Chula Vista, CA 91913 | 2010-05-13 |
| 1295066959 | Candice Aquino Claudio | Physical Therapist | 1400 E. Palomar, Chula Vista, CA 91913 | 2010-01-20 |
| 1417136128 | Alshafie Mohamed Hassan | Internal Medicine | 1400 East Palomar Street, Chula Vista, CA 91913 | 2007-10-30 |
| Find all providers in zip 91913 | ||||
| Taxonomy Code | 208800000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235132556 | Daniel B Hunting | Urology | 450 4th Ave, Ste 303, Chula Vista, CA 91910-4429 | 2005-05-31 |
| 1982910741 | John A Grimaldi Do Inc | Urology | 450 4th Ave, Sutie 312, Chula Vista, CA 91910-4426 | 2010-08-31 |
| 1265758528 | Urology Specialists of San Diego Inc | Urology | 752 Medical Center Ct, Suite 302, Chula Vista, CA 91911-6658 | 2010-04-12 |
| 1821157033 | John Alexander Grimaldi | Urology | 450 4th Ave, Suite 312, Chula Vista, CA 91910-4426 | 2006-12-06 |
| 1851301287 | Douglas J. Darlin | Urology | 1400 E Palomar St, Chula Vista, CA 91913-1800 | 2006-08-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265033096 | Urology Surgical Partners | Urology | 15944 Los Serranos Country Club Dr Ste 200, Chino Hills, CA 91709-3991 | 2020-11-06 |
| 1891301487 | Fadl Hamouche | Urology | 400 Parnassus Ave # A632, San Francisco, CA 94143-2202 | 2020-09-18 |
| 1083233902 | Elite Medical Group PC | Urology | 2083 Compton Ave Ste 202, Corona, CA 92881-3416 | 2020-04-10 |
| 1659919660 | Thrive Medical, Inc. | Urology | 18740 Ventura Blvd Ste 101, Tarzana, CA 91356-3366 | 2019-12-20 |
| 1457997645 | David G Song Md Inc | Urology | 5365 Walnut Avenue Ste A, Chino, CA 91710-9171 | 2019-11-21 |
| 1699316273 | Golden Gate Urology Inc | Urology | 929 Clay St Ste 505, San Francisco, CA 94108-1500 | 2019-10-04 |
| 1598318461 | Khoddami Medical Group Inc | Urology | 2705 Loma Vista Rd Ste 206, Ventura, CA 93003-1584 | 2019-07-19 |
| 1942760293 | Adventist Health Physicians Network | Urology | 2701 Chester Ave # 102, Bakersfield, CA 93301-2016 | 2019-03-22 |
| 1699233361 | Orange Coast Medical, A Medical Corporation | Urology | 10900 Warner Ave Ste 121, Fountain Valley, CA 92708-3846 | 2019-03-12 |
| 1891268389 | John Joseph Granato Jr. | Urology | 333 Cumberland Rd, Glendale, CA 91202-1256 | 2019-01-07 |
| Find all providers with the same taxonomy | ||||
| City | CHULA VISTA |
| Zip Code | 91913 |
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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.