Legacy Marketing Worldwide Inc.
NPI 1336505197ActiveOrganization· Nurse Practitioner, Primary Care· Los Angeles, CA
Nurse Practitioner, Primary Care in Los Angeles, California, registered in NPPES in January 2016. The authorized official on file is Marlon C. Salamat, ADMINISTRATOR, Administrator. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1336505197 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jan 11, 2016 |
| Last updated in NPPES | Oct 9, 2023 |
| Certified by provider | Oct 9, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Primary Care Primary | 363LP2300X | — | — |
| Clinic/Center, Primary Care | 261QP2300X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (CA) |
|---|
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