MARLON ALTAN DC
NPI 1548071194
Chiropractor in San Rafael, CA

Active since January 14, 2025
361 3RD ST STE D, SAN RAFAEL, CA 94901(415) 454-3717 Get Directions Write a Review

NPPES record last updated: January 14, 2025. Verified against the NPPES registry weekly; last sync: August 23, 2026.

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

NPI1548071194
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameMARLON ALTANCredential: DC
Location Address361 3RD ST STE DSan Rafael, CA 94901-3580
Mailing Address361 3rd St Ste DSan Rafael, CA 94901-3580 · (415) 454-3717
Sole ProprietorNo
Medical School CMSLife Chiropractic College - WestGraduated 2024
Enumeration DateJanuary 14, 2025
NPPES CertifiedJanuary 14, 2025
NPI 1548071194 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License Licensed in CA · 37035
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
361 3RD ST STE D, San Rafael, CA 94901

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Marlon Altan Dc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2466982921
PECOS Enrollment IDI20250212003680

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.

Chiropractor
361 3RD ST STE D
SAN RAFAEL, CA 94901
Chiropractor
361 3RD ST STE D
SAN RAFAEL, CA 94901

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.

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 19 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.