MARSHAK MEDICAL GROUP, INC (NPI# 1487969689) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487969689 |
| Entity Type | Organization |
| Organization Name | MARSHAK MEDICAL GROUP, INC |
| Practice Address |
3484 E 1st St Los Angeles CA 90063-2946 |
| Mailing Address |
2980 N Beverly Glen Cir Ste 100 Los Angeles CA 90077-1726 |
| Practice Telephone | 8185965555 |
| Mailing Telephone | 3104749809 |
| Mailing Fax Number | 8884318819 |
| Enumeration Date | 2010-08-11 |
| Last Update Date | 2015-10-05 |
| Authorized Official Name | HERBERT MARSHAK (MEDICAL DIRECTOR) |
| Authorized Official Telephone | 8185965555 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | Y |
| Parent Organization Name | MARSHAK MEDICAL GROUP, INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332900000X | Non-Pharmacy Dispensing Site | Suppliers |
| Street Address |
3484 E 1ST ST |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90063-2946 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790851780 | Sidney Marshak | Family Medicine | 3484 E 1st St, Los Angeles, CA 90063-2946 | 2006-11-28 |
| 1134666811 | One West Medical Group | Family Medicine | 3484 E 1st St, Los Angeles, CA 90063-2946 | 2017-01-19 |
| 1770604779 | Marshak Medical Group Inc | Family Medicine | 3484 E 1st St, Los Angeles, CA 90063-2946 | 2007-04-03 |
| 1093881229 | Herbert Karlow | Family Medicine | 3484 E 1st St, Los Angeles, CA 90063-2946 | 2006-11-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053772814 | Arturo Ibarra D.d.s. Inc | Dentist | 3604 East 1st Street, Los Angeles, CA 90063 | 2016-03-08 |
| 1528431046 | Caremore Health Plan | Nurse Practitioner | 3513 East 1st Street, Los Angeles, CA 90063 | 2015-11-05 |
| 1386082766 | Esteban E. Torres High School Clinic | Clinic/Center | 4127 East Cesar Chavez Avenue, Los Angeles, CA 90063 | 2013-06-07 |
| 1780925495 | Elena M Esparza | Chiropractor | 303 N Record Ave, Los Angeles, CA 90063 | 2013-03-05 |
| 1992068480 | Elvia Nevarez | Dental Assistant | 3217 Ganahl St., Los Angeles, CA 90063 | 2012-06-19 |
| 1922397736 | Lac Usc Medical Center | General Acute Care Hospital | 1334 Lotta Dr., Los Angeles, CA 90063 | 2011-04-01 |
| 1821398116 | Jaime Armando Martinez | Physician Assistant | 3612 1/2 East First Street, Los Angeles, CA 90063 | 2010-11-02 |
| 1811100548 | Albert Tarnier Touriel | General Practice | 105 So Rowan Ave, Los Angeles, CA 90063 | 2007-05-08 |
| 1871705376 | Jose Luis Perez Md Inc | General Practice | 3000 E 1st Streest, Los Angeles, CA 90063 | 2007-05-04 |
| 1962550525 | Anil Butala | Pharmacy | 3706 E Cesar Chavez Ave, Los Angeles, CA 90063 | 2007-01-08 |
| Find all providers in zip 90063 | ||||
| Taxonomy Code | 332900000X |
| Grouping | Suppliers |
| Classification | Non-Pharmacy Dispensing Site |
| A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.) |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730624719 | St. John's Well Child and Family Center Inc | Non-Pharmacy Dispensing Site | 326 W 23rd St, Los Angeles, CA 90007-2612 | 2016-12-29 |
| 1932395092 | Glenville Medical Group, A Medical Corporation | Non-Pharmacy Dispensing Site | 1531 Glenville Dr, Los Angeles, CA 90035-3107 | 2007-09-21 |
| 1265441216 | Randy L Peters | Non-Pharmacy Dispensing Site | 3198 W 7th St Apt 318, Los Angeles, CA 90005-1659 | 2006-08-07 |
| 1891245619 | Keith L. Gurnick, D.p.m. | Non-Pharmacy Dispensing Site | 2080 Century Park E, Suite 705, Los Angeles, CA 90067-2001 | 2016-10-04 |
| 1770962946 | R Roland Lopez, M.d., Inc. | Non-Pharmacy Dispensing Site | 1711 W Temple St, Suite 4100, Los Angeles, CA 90026-5421 | 2015-05-21 |
| 1386021475 | R Roland Lopez, M.d., Inc. | Non-Pharmacy Dispensing Site | 5301 Whittier Blvd, Suite B, Los Angeles, CA 90022-4038 | 2015-04-28 |
| 1033501101 | Ais Medical Foods, Inc. | Non-Pharmacy Dispensing Site | 8631 W 3rd St, Suite 1145e, Los Angeles, CA 90048-5901 | 2015-02-26 |
| 1255749099 | Morningside Primary Care Medical Center Mc Inc A Nevada Corporation | Non-Pharmacy Dispensing Site | 617 W Manchester Ave, Los Angeles, CA 90044-5718 | 2014-07-24 |
| 1386058402 | Arj Medical, Inc. | Non-Pharmacy Dispensing Site | 5655 E Beverly Blvd, Los Angeles, CA 90022-2803 | 2014-06-17 |
| 1043624489 | Daniel Capen, M.d., A Professional Corporation | Non-Pharmacy Dispensing Site | 6200 Wilshire Blvd, Suite 910, Los Angeles, CA 90048-5801 | 2014-06-13 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90063 |
Please comment or provide details below to improve the information on MARSHAK MEDICAL GROUP, INC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.