MARLENE ANGELA BOOTHE
NPI 1700337839
Student in an Organized Health Care Education/Training Program in Stockton, CA

Q: What is Marlene Boothe's NPI number?

The NPI number for Marlene Boothe is 1700337839. It was assigned to this individual provider in the NPPES registry on October 24, 2016.

Q: What is Marlene Boothe's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Marlene Boothe was last updated on August 18, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since October 24, 2016

2453 GRAND CANAL BLVD STE A, STOCKTON, CA 95207(855) 223-7123(619) 374-7134 Get Directions Write a Review

NPPES record last updated: August 18, 2023. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Aug 18, 2023, Nov 10, 2016, Oct 24, 2016 (3 updates tracked since 2016).

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About Marlene Angela Boothe NPPES

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

MARLENE ANGELA BOOTHE (NPI 1700337839) is an individual student in an organized health care education/training program in Stockton, California and active in the NPI registry since October 2016. She maintains a secondary practice location in San Jose.

NPPES Registry Identity

NPI1700337839

Entity TypeIndividualFemale

Primary Taxonomy390200000X

Provider Legal NameMARLENE ANGELA BOOTHE

Location Address2453 GRAND CANAL BLVD STE AStockton, CA 95207-8138

Mailing AddressPo Box 33568San Diego, CA 92163-3568 · (855) 223-7123 · Fax (619) 374-7134

Phone(855) 223-7123

Fax(619) 374-7134

Sole ProprietorYes

Enumeration DateOctober 24, 2016

Last NPPES UpdateAugust 18, 20233 updates tracked since enumeration

NPPES CertifiedAugust 18, 2023

✔ NPI 1700337839 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Also ListedBehavior TechnicianTaxonomy 106S00000X

2453 GRAND CANAL BLVD STE A, Stockton, CA 95207

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Secondary Practice Location 1

Location 11401 Parkmoor Ave, Ste 230San Jose, CA 95126-3403 · Phone (408) 971-9822 · Fax (408) 508-7747

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.

JEANETTE ROJAS

Behavior Technician