Healthcare Provider Details

I. General information

NPI: 1629167614
Provider Name (Legal Business Name): FRANCISCO J MARASIGAN MD & ERLINDA R MARASIGAN MD PROFESSIONAL CORP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/11/2006
Last Update Date: 05/05/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9624 ELK GROVE FLORIN RD
ELK GROVE CA
95624-2226
US

IV. Provider business mailing address

9624 ELK GROVE FLORIN RD
ELK GROVE CA
95624-2226
US

V. Phone/Fax

Practice location:
  • Phone: 916-685-7500
  • Fax: 916-714-5844
Mailing address:
  • Phone: 916-685-7500
  • Fax: 916-714-5844

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License NumberA33273
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code313M00000X
TaxonomyNursing Facility/Intermediate Care Facility
License NumberA33273
License Number StateCA
# 3
Primary TaxonomyN
Taxonomy Code282N00000X
TaxonomyGeneral Acute Care Hospital
License NumberA33273
License Number StateCA
# 4
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberA33273
License Number StateCA

VIII. Authorized Official

Name: DR. ERLINDA RODRIGO MARASIGAN
Title or Position: FAMILY PHYSICIAN/PRESIDENT
Credential: M.D.
Phone: 916-685-7500