Provider Demographics
NPI:1629167614
Name:FRANCISCO J MARASIGAN MD & ERLINDA R MARASIGAN MD PROFESSIONAL CORP
Entity Type:Organization
Organization Name:FRANCISCO J MARASIGAN MD & ERLINDA R MARASIGAN MD PROFESSIONAL CORP
Other - Org Name:MARASIGAN AND MARASIGAN MEDICAL CORP
Other - Org Type:Doing Business As
Authorized Official - Title/Position:FAMILY PHYSICIAN/PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ERLINDA
Authorized Official - Middle Name:RODRIGO
Authorized Official - Last Name:MARASIGAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:916-685-7500
Mailing Address - Street 1:9624 ELK GROVE FLORIN RD
Mailing Address - Street 2:
Mailing Address - City:ELK GROVE
Mailing Address - State:CA
Mailing Address - Zip Code:95624-2226
Mailing Address - Country:US
Mailing Address - Phone:916-685-7500
Mailing Address - Fax:916-714-5844
Practice Address - Street 1:9624 ELK GROVE FLORIN RD
Practice Address - Street 2:
Practice Address - City:ELK GROVE
Practice Address - State:CA
Practice Address - Zip Code:95624-2226
Practice Address - Country:US
Practice Address - Phone:916-685-7500
Practice Address - Fax:916-714-5844
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-11
Last Update Date:2015-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA33273207Q00000X, 282N00000X, 313M00000X, 314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
No282N00000XHospitalsGeneral Acute Care Hospital
No313M00000XNursing & Custodial Care FacilitiesNursing Facility/Intermediate Care Facility
No314000000XNursing & Custodial Care FacilitiesSkilled Nursing FacilityGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAGR0005900Medicaid
CAA27094Medicare UPIN
CAZZZ86702ZMedicare ID - Type Unspecified
CAGR0005900Medicaid