MARCUS GRESHAM
NPI 1093483091
Student in an Organized Health Care Education/Training Program in Stanford, CA
About Marcus Gresham NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MARCUS GRESHAM (NPI 1093483091) is an individual student in an organized health care education/training program in Stanford, California and active in the NPI registry since September 2021. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Marcus Gresham is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
STANFORD, CA 94305
STANFORD, CA 94305
STANFORD, CA 94305
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Marcus Gresham's NPI number?
The NPI number for Marcus Gresham is 1093483091. It was assigned to this individual provider in the NPPES registry on September 3, 2021.
Where is Marcus Gresham located?
Marcus Gresham practices at 300 Pasteur Dr, Stanford, CA 94305. The listed phone number is (650) 723-5948.
What is Marcus Gresham's specialty?
The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.
Is Marcus Gresham enrolled in Medicare?
Yes. Marcus Gresham is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Marcus Gresham was last updated on July 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Marcus Gresham · NPI 1093483091
Student in an Organized Health Care Education/Training Program provider in Stanford, California. Individual provider, active in the CMS NPPES registry since September 3, 2021.
## Identity
- **NPI:** 1093483091 (Entity type: Individual)
- **Enumerated:** September 3, 2021
- **Primary specialty:** Student in an Organized Health Care Education/Training Program · taxonomy 390200000X
- **Sole proprietor:** No
## Practice location
- **Address:** 300 PASTEUR DR, Stanford, CA 94305-2298
- **Phone:** (650) 723-5948
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** July 22, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1093483091) · Data from the CMS NPPES public registry.