Individual provider · Type 1 NPI

Jacob Marquette, DO

Family Medicine Physician · South Lake Tahoe, CA

NPI number 1649659772 Active

Practice location

2170 South Ave
South Lake Tahoe, CA 96150-7026

Mailing address

3291 Loma Vista Rd
Ventura, CA 93003-3099

Specialties and licenses

TaxonomyCodeLicense
Family Medicine Physician 207Q00000XDR.0060772 (CO)
Addiction Medicine (Preventive Medicine) Physician 2083A0300X15073 (CA)
Family Medicine Physician Primary 207Q00000X15073 (CA)

Family Medicine Physician: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

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About NPI 1649659772

Jacob Marquette, DO's National Provider Identifier is 1649659772, issued on May 21, 2015. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in South Lake Tahoe, CA. The record was last updated on Apr 28, 2025.