| Marque Urgent Care, Inc.-newport Beach | |
|
2075 San Joaquin Hills Rd Newport Beach CA 92660-6505 | |
| (949) 760-9222 | |
| (949) 644-4312 |
| Full Name | Marque Urgent Care, Inc.-newport Beach |
|---|---|
| Speciality | Clinic/Center |
| Location | 2075 San Joaquin Hills Rd, Newport Beach, California |
| Authorized Official Name and Position | Nathan Aron Kiskila (PRESIDENT) |
| Authorized Official Contact | 9497609222 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Marque Urgent Care, Inc.-newport Beach 2075 San Joaquin Hills Rd Newport Beach CA 92660-6505 Ph: (949) 760-9222 | Marque Urgent Care, Inc.-newport Beach 2075 San Joaquin Hills Rd Newport Beach CA 92660-6505 Ph: (949) 760-9222 |
| NPI Number | 1538466107 |
|---|---|
| Provider Enumeration Date | 02/17/2011 |
| Last Update Date | 05/31/2016 |
| Medicare PECOS PAC ID | 9537345665 |
|---|---|
| Medicare Enrollment ID | O20110525000301 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538466107 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | A104532 (California) | Secondary |
| 261QU0200X | Clinic/center - Urgent Care | (* (Not Available)) | Primary |
| Provider Name | David G Porzio |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457391740 PECOS PAC ID: 1052203114 Enrollment ID: I20040325000849 |
| Provider Name | Robert C Walker |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093867970 PECOS PAC ID: 3476511171 Enrollment ID: I20050520001004 |
| Provider Name | Talal A Al-quraini |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1316955446 PECOS PAC ID: 9537264031 Enrollment ID: I20070411000338 |
| Provider Name | Damanpreet Jamarai |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1962672246 PECOS PAC ID: 9638244122 Enrollment ID: I20080818000757 |
| Provider Name | Valerie L Youngblood |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538397815 PECOS PAC ID: 6002956646 Enrollment ID: I20091212000088 |
| Provider Name | Matthew Szkalak |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1073822920 PECOS PAC ID: 9537356191 Enrollment ID: I20101208000400 |
| Provider Name | Jyotsna Keni |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1104061407 PECOS PAC ID: 4789864141 Enrollment ID: I20110202000601 |
| Provider Name | Nathan A Kiskila |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1235265844 PECOS PAC ID: 3870660103 Enrollment ID: I20110616000738 |
| Provider Name | Samuel Gerson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1881843431 PECOS PAC ID: 2163691155 Enrollment ID: I20110809000103 |
| Provider Name | Frank F Young |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1447432620 PECOS PAC ID: 9436322070 Enrollment ID: I20111027000295 |
| Provider Name | Dorcas M Eaves |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1962463901 PECOS PAC ID: 2769640374 Enrollment ID: I20120228000153 |
| Provider Name | Mark R Wade |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558569921 PECOS PAC ID: 1658360979 Enrollment ID: I20150128001757 |
| Provider Name | Tiffany Halim Aman |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1376842864 PECOS PAC ID: 6901029081 Enrollment ID: I20151029001787 |
| Provider Name | Brandy Gallagher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114476769 PECOS PAC ID: 5698055937 Enrollment ID: I20161202001969 |
| Provider Name | Colleen A Kraft |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1487761631 PECOS PAC ID: 0244333912 Enrollment ID: I20170913002901 |
| Provider Name | Jeffrey E White |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1811938038 PECOS PAC ID: 1759326663 Enrollment ID: I20180425002689 |
| Provider Name | Bora Shin |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1912312117 PECOS PAC ID: 7416280458 Enrollment ID: I20190606002115 |
| Provider Name | Frederick Perez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760017479 PECOS PAC ID: 0345671970 Enrollment ID: I20200514000170 |
| Provider Name | Denise Nicole Smith |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851507610 PECOS PAC ID: 3779626916 Enrollment ID: I20200721000742 |
| Provider Name | Chris Tenore |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1326428970 PECOS PAC ID: 8224341144 Enrollment ID: I20210419000225 |
| Provider Name | Sarah Ezzat |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1184000796 PECOS PAC ID: 8325336969 Enrollment ID: I20210506002242 |
| Provider Name | Clarisse Casilang |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1093133407 PECOS PAC ID: 7012316219 Enrollment ID: I20210520000413 |
| Provider Name | Christina L Vierling |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1457713091 PECOS PAC ID: 9234484155 Enrollment ID: I20210610001677 |
| Provider Name | Carlos Alberto Navarro |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1447522867 PECOS PAC ID: 3779986047 Enrollment ID: I20210723001603 |
| Provider Name | Mark Vincent |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1336352012 PECOS PAC ID: 7214124858 Enrollment ID: I20210902001763 |
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