MARLON ALTAN DC
NPI 1548071194
Chiropractor in San Rafael, CA
About Marlon Altan Dc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MARLON ALTAN DC (NPI 1548071194) is an individual chiropractor in San Rafael, California, licensed in California (37035) and active in the NPI registry since January 2025. He is a graduate of Life Chiropractic College - West (2024).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Marlon Altan Dc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Marlon Altan reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
San Rafael, CA 94901
- Reassigned Medicare billing, California enrollment
- 2 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Other Providers at the Same Location NPPES 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Marlon Altan's NPI number?
The NPI number for Marlon Altan is 1548071194. It was assigned to this individual provider in the NPPES registry on January 14, 2025.
Where is Marlon Altan located?
Marlon Altan practices at 361 3rd St Ste D, San Rafael, CA 94901. The listed phone number is (415) 454-3717.
What is Marlon Altan's specialty?
The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.
Is Marlon Altan enrolled in Medicare?
Yes. Marlon Altan is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Marlon Altan's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Marlon Altan reassigns Medicare benefits to Elena Vince D C A Chiropractic Corp (San Rafael, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Marlon Altan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Marlon Altan was last updated on January 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.
# Marlon Altan, DC · NPI 1548071194
Chiropractor provider in San Rafael, California. Individual provider, active in the CMS NPPES registry since January 14, 2025.
## Identity
- **NPI:** 1548071194 (Entity type: Individual)
- **Enumerated:** January 14, 2025
- **Primary specialty:** Chiropractor · taxonomy 111N00000X
- **State license:** 37035 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 361 3RD ST STE D, San Rafael, CA 94901-3580
- **Phone:** (415) 454-3717
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Bills Medicare through:** Elena Vince D C A Chiropractic Corp (NPI 1679836886, San Rafael, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Life Chiropractic College - West, class of 2024
## Record status
- **NPPES last updated:** January 14, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1548071194) · Data from the CMS NPPES public registry.