| NPI | 1073968459 |
|---|---|
| NPI Type | NPI-1 Individual |
| Status | Active |
| Enumeration Date | 2016-05-04 |
| Last Updated | 2021-10-13 |
| Mailing Address | 11234 Anderson St Loma Linda, CA 92354-2804 United States Phone: (951) 746-6126 📍 View Map |
| Primary Practice Address | 11234 Anderson St Loma Linda, CA 92354-2804 United States Phone: (909) 558-4444 📍 View Map |
| Primary | Taxonomy Code & Description | State | License Number |
|---|---|---|---|
| Yes | 363A00000X – Physician Assistant | — | — |
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About NPI 1073968459
Marque R Dietzler P.A. is a healthcare provider registered in the CMS NPPES NPI Registry with NPI number 1073968459. The primary specialty listed is Physician Assistant. The provider is located in Loma Linda, CA. This NPI is classified as a Type 1 (Individual) NPI and is currently active. The NPI was first enumerated (assigned) on 2016-05-04. All data is sourced directly from the official CMS NPPES public API and is updated daily.
Frequently Asked Questions
What is NPI 1073968459?
NPI 1073968459 belongs to Marque R Dietzler P.A., a Physician Assistant in Loma Linda, CA. It is a Type 1 Individual NPI registered in the CMS NPPES NPI Registry.
Is NPI 1073968459 active?
The current status of NPI 1073968459 in the NPPES registry is Active. The record was last updated on 2021-10-13.
What specialty is NPI 1073968459?
NPI 1073968459 is classified under the taxonomy Physician Assistant. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.
How do I verify NPI 1073968459?
You can verify NPI 1073968459 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.
What address is on file for NPI 1073968459?
The primary practice address on file for NPI 1073968459 is 11234 Anderson St, Loma Linda, CA 92354-2804. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.
When was NPI 1073968459 issued?
NPI 1073968459 was first issued (enumerated) on 2016-05-04. The NPPES record was last updated on 2021-10-13.
Practice Location Map
Marque R Dietzler is located at 11234 Anderson St, Loma Linda, CA. Use the map below to find directions or verify the practice location.
Related Healthcare Providers
The following providers share the same practice location, specialty, or state as Marque R Dietzler. All records sourced from the CMS NPPES registry.