Provider Demographics
NPI:1538032511
Name:MARKS, CARNELLA MARIE
Entity type:Individual
Prefix:
First Name:CARNELLA
Middle Name:MARIE
Last Name:MARKS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2270 LINCOLN ST STE 4
Mailing Address - Street 2:
Mailing Address - City:OROVILLE
Mailing Address - State:CA
Mailing Address - Zip Code:95966-5475
Mailing Address - Country:US
Mailing Address - Phone:323-873-7053
Mailing Address - Fax:
Practice Address - Street 1:PO BOX 1585
Practice Address - Street 2:
Practice Address - City:OROVILLE
Practice Address - State:CA
Practice Address - Zip Code:95965-1585
Practice Address - Country:US
Practice Address - Phone:323-873-7053
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-09-25
Last Update Date:2025-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251T00000XAgenciesProgram of All-Inclusive Care for the Elderly (PACE) Provider Organization
No101YP1600XBehavioral Health & Social Service ProvidersCounselorPastoralGroup - Multi-Specialty
No172A00000XOther Service ProvidersDriver
No177F00000XOther Service ProvidersLodging
No225600000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersDance Therapist
No374J00000XNursing Service Related ProvidersDoula