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LUIS MARIO MARQUEZ M D INC
NPI 1427110790
Family Medicine in San Diego, CA

Active since December 14, 2006CLIA 05D0966067 · Waiver
4060 FOURTH AVE STE 540, SAN DIEGO, CA 92103(619) 236-8796(619) 238-5702 Get Directions Write a Review

NPPES record last updated: October 14, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Sep 9, 2024, Oct 11, 2023, May 12, 2023 (3 updates tracked since 2023).

About Luis Mario Marquez M D Inc NPPES

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

LUIS MARIO MARQUEZ M D INC (NPI 1427110790) is a healthcare organization registered as a family medicine in San Diego, California and active in the NPI registry since December 2006. The organization holds a CLIA Waiver certificate valid through October 5, 2027 and lists Fiona Dempsey, Administrator, as its authorized official.

NPPES Registry Identity

NPI1427110790
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameLUIS MARIO MARQUEZ M D INC
Location Address4060 FOURTH AVE STE 540San Diego, CA 92103-2121
Mailing Address4060 Fourth Ave Ste 540San Diego, CA 92103-2121 · (619) 236-8796 · Fax (619) 238-5702
Phone(619) 236-8796
Fax(619) 238-5702
Organization SubpartNo
Authorized OfficialFiona DempseyAdministrator · (858) 270-7633
Enumeration DateDecember 14, 2006
Last NPPES UpdateOctober 14, 20243 updates tracked since enumeration
NPPES CertifiedOctober 3, 2024
✔ NPI 1427110790 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in CA · A45934
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
4060 FOURTH AVE STE 540, San Diego, CA 92103
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D0966067

Luis M Marquez MD Inc · San Diego, CA
Active · expires Oct 5, 2027
CLIA Number05D0966067
Laboratory TypePhysician Office
Certificate Effective DateOctober 6, 2025
Certificate Expiration DateOctober 5, 2027
Laboratory DirectorLuis M. Marquez MD
Laboratory Phone(619) 236-8796
Laboratory LocationLuis M Marquez MD Inc4060 4th Ave Ste 540, San Diego, CA 92103
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JOSEPH ALAN ZAKOWSKI DDS
Dentist
4060 FOURTH AVE STE 540
SAN DIEGO, CA 92103
San Diego County (619) 417-6260
DR. LUIS MARIO MARQUEZ M.D.
Family Medicine
4060 FOURTH AVE STE 540
SAN DIEGO, CA 92103
San Diego County (619) 236-8796
MR. JORGE ZARATE P.A.-C
Physician Assistant (Medical)
4060 FOURTH AVE STE 540
SAN DIEGO, CA 92103
San Diego County (619) 236-8796

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 Luis Mario Marquez M D Inc's NPI number?

The NPI number for Luis Mario Marquez M D Inc is 1427110790. It was assigned to this organization in the NPPES registry on December 14, 2006.

Where is Luis Mario Marquez M D Inc located?

Luis Mario Marquez M D Inc is located at 4060 Fourth Ave Ste 540, San Diego, CA 92103. The listed phone number is (619) 236-8796.

What is Luis Mario Marquez M D Inc's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Luis Mario Marquez M D Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D0966067) is associated with this NPI, valid through October 5, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Luis Mario Marquez M D Inc was last updated on October 14, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months 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.