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Export Provider Record NPI 1083028179
Krystin Ann Marquz
Active
NPI Number1083028179
NPI TypeNPI-1 Individual
SpecialtyTechnician, Other
Provider Details
NPI1083028179
NPI TypeNPI-1 Individual
StatusActive
Enumeration Date2014-06-17
Last Updated2014-06-17
Mailing Address3469 W Benjamin Holt Dr Apt 474
Stockton, CA 95219-3539
United States
Phone: (209) 968-1598
📍 View Map
Primary Practice Address3469 W Benjamin Holt Dr Apt 474
Stockton, CA 95219-3539
United States
Phone: (209) 968-1598
📍 View Map
Taxonomy / Specialty
PrimaryTaxonomy Code & DescriptionStateLicense Number
Yes247200000X – Technician, OtherCAPT37594
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About NPI 1083028179

Krystin Ann Marquz is a healthcare provider registered in the CMS NPPES NPI Registry with NPI number 1083028179. The primary specialty listed is Technician, Other. The provider is located in Stockton, CA. This NPI is classified as a Type 1 (Individual) NPI and is currently active. The NPI was first enumerated (assigned) on 2014-06-17. All data is sourced directly from the official CMS NPPES public API and is updated daily.

Frequently Asked Questions

What is NPI 1083028179?

NPI 1083028179 belongs to Krystin Ann Marquz, a Technician, Other in Stockton, CA. It is a Type 1 Individual NPI registered in the CMS NPPES NPI Registry.

Is NPI 1083028179 active?

The current status of NPI 1083028179 in the NPPES registry is Active. The record was last updated on 2014-06-17.

What specialty is NPI 1083028179?

NPI 1083028179 is classified under the taxonomy Technician, Other. 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 1083028179?

You can verify NPI 1083028179 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 1083028179?

The primary practice address on file for NPI 1083028179 is 3469 W Benjamin Holt Dr Apt 474, Stockton, CA 95219-3539. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.

When was NPI 1083028179 issued?

NPI 1083028179 was first issued (enumerated) on 2014-06-17. The NPPES record was last updated on 2014-06-17.

Practice Location Map

Krystin Ann Marquz is located at 3469 W Benjamin Holt Dr Apt 474, Stockton, CA. Use the map below to find directions or verify the practice location.

📍 3469 W Benjamin Holt Dr Apt 474, Stockton, CA 95219-3539  ·  Open in Google Maps ↗

Related Healthcare Providers

The following providers share the same practice location, specialty, or state as Krystin Ann Marquz. All records sourced from the CMS NPPES registry.

License Information

The following state license numbers are on file in the NPPES registry for NPI 1083028179. For license status verification, contact the relevant state licensing board directly.

Specialty / TaxonomyLicense NumberState
Technician, OtherPT37594CA
Data Verified from CMS NPPES Last synced: 2026-06-20 · Source: npiregistry.cms.hhs.gov · 45 CFR Part 162