THEODORA J MARZOUK
NPI 1174045744
Home Health Aide in Oakland, CA

Active since July 14, 2017
3317 ELM STREET, SUITE 202, OAKLAND, CA 94609(510) 923-9790(510) 923-9599 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 21, 2022, Jul 14, 2017 (2 updates tracked since 2017).

About Theodora J Marzouk NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

THEODORA J MARZOUK (NPI 1174045744) is an individual home health aide in Oakland, California, licensed in California (020000416) and active in the NPI registry since July 2017.

NPPES Registry Identity

NPI1174045744
Entity TypeIndividualFemale
Primary Taxonomy374U00000X
Provider Legal NameTHEODORA J MARZOUK
Location Address3317 ELM STREET, SUITE 202Oakland, CA 94609
Mailing Address3317 Elm St Ste 202Oakland, CA 94609-3053 · (510) 923-9790 · Fax (510) 923-9599
Fax(510) 923-9599
Sole ProprietorNo
Enumeration DateJuly 14, 2017
Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration
NPI 1174045744 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyHome Health AideNursing Service Related Providers
Taxonomy Code374U00000X
License Licensed in CA · 020000416
Definition
A person trained to assist public health nurses, home health nurses, and other health professionals in the bedside care of patients in their homes.
3317 ELM STREET, Oakland, CA 94609

Other Identifiers 1

Other020000416CA · Home Health License

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 Theodora Marzouk's NPI number?

The NPI number for Theodora Marzouk is 1174045744. It was assigned to this individual provider in the NPPES registry on July 14, 2017.

Where is Theodora Marzouk located?

Theodora Marzouk practices at 3317 Elm Street Suite 202, Oakland, CA 94609. The listed phone number is (510) 923-9790.

What is Theodora Marzouk's specialty?

The primary specialty registered for this NPI is Home Health Aide with taxonomy code 374U00000X.

When was this NPI record last updated?

The NPPES record for Theodora Marzouk was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.