Mark S Wallen
SANTA MONICA PODIATRY GROUP INC


Address: 1260 15th St, Suite 1014, Santa Monica, CA 90404-1145
Phone: 3104511618

Mark S Wallen (NPI# 1306811674, PAC ID# 7315990496) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PODIATRY.

Physician Overview

Nation Provider ID (NPI) 1306811674
PAC ID by PECOS 7315990496
Professional Enrollment ID I20050303000545
Full Name Mark S Wallen
Organization Legal Name SANTA MONICA PODIATRY GROUP INC
Address 1260 15th St
Suite 1014
Santa Monica
CA 90404-1145
Phone Number 3104511618
Gender M
Credential DPM
Graduation Year 1982
Primary Specialty PODIATRY
Group Practice PAC ID 5193825495
Number of Group Practice Members 4
Accepts Medicare Assignment M

Other Locations

Address Phone Organization
1260 15th St, Suite 1014, Santa Monica, CA 90404-1145 3104511618 SANTA MONICA PODIATRY GROUP INC

Individual EP (Eligible Professionals) Public Reporting – Performance Scores
Physician Quality Reporting System (PQRS) and non-PQRS Qualified Clinical Data Registry (QCDR)

Measure Identifier Measure Title Performance Rate Reporting Mechanism
MIPS_EC_110_overall Preventive Care and Screening: Influenza Immunization 91%
MIPS_EC_111_overall Pneumococcal Vaccination Status for Older Adults 40%
MIPS_EC_128_overall Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan 93%
MIPS_EC_130_overall Documentation of Current Medications in the Medical Record 99%
MIPS_EC_131_overall Pain Assessment and Follow-Up 94%
MIPS_EC_226_overall Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 98%

Organization Information

Organization Legal Name SANTA MONICA PODIATRY GROUP INC
Physicians 4

Physicians with the same organization

Name Specialty Organization Address
Terry J Boykoff Podiatry Santa Monica Podiatry Group Inc 1260 15th St, Suite 1014, Santa Monica, CA 90404-1145
Abbasseh Towfigh Podiatry Santa Monica Podiatry Group Inc 1260 15th St, Suite 1014, Santa Monica, CA 90404-1145
David J Aungst Podiatry Santa Monica Podiatry Group Inc 1260 15th St, Suite 1014, Santa Monica, CA 90404-1145

Office Location

Street Address 1260 15TH ST
SUITE 1014
City SANTA MONICA
State CA
Zip 90404-1145

Physicians in the same location

Name Specialty Organization Address
Andrew Yang Sun Urology Regents of The University of California 1260 15th St, Suite 1200, Santa Monica, CA 90404-1147
Peter Galier Internal Medicine Premier Health Partners of Santa Monica 1260 15th St, Suite 1415, Santa Monica, CA 90404-1135
John Patrick Whelan Rheumatology The Regents of The University of California 1260 15th St, Suite 1502, Santa Monica, CA 90404-1135
Edward Harry Livingston General Surgery Ucla Associated General Surgeons 1260 15th St, Suite 1200, Santa Monica, CA 90404-1147
Ian Taylor Macqueen General Surgery Ucla Associated General Surgeons 1260 15th St, Suite 1200, Santa Monica, CA 90404-1147
Charles F Chandler General Surgery Ucla Associated General Surgeons 1260 15th St, Suite 1200, Santa Monica, CA 90404-1147
Jesse N Mills Urology Regents of The University of California 1260 15th St, Suite 1200, Santa Monica, CA 90404-1147
Melissa D Alexander Qualified Audiologist 1260 15th St, P2, Santa Monica, CA 90404-1135
Joseph David Shirk Urology The Regents of The University of California 1260 15th St, Suite 1200, Santa Monica, CA 90404-1147
Caroline G Close Family Medicine Regents University of California Los Angeles 1260 15th St, Suite 1501, Santa Monica, CA 90404-1150
Find all physicians in the same address

Physicians in the same zip code

Name Specialty Organization Address
Vivanti N Jain Plastic and Reconstructive Surgery 2021 Santa Monica Blvd, Santa Monica, CA 90404-0001
Margaret Ann Regan Rainey Nurse Practitioner Regents of The University of California 1225 15th St, Suite 2100, Santa Monica, CA 90404-1101
Ralph A Massey Dermatology 1260 15th St, Suite 1401, Santa Monica, CA 90404-1106
Malena Shu-chuan Law General Practice Premier Health Partners of Santa Monica 1260 15th St, Suite 1415, Santa Monica, CA 90404-1135
Mohammed Fahad Ali Internal Medicine The Regents of The University of California 1260 15th St, Suite 1502, Santa Monica, CA 90404-1135
Manoochehr Yashari Obstetrics/gynecology 1260 15th St, Suite 616, Santa Monica, CA 90404-1141
Quynhtrang Le Sebastian Dermatology 1260 15th St, Suite 709, Santa Monica, CA 90404-1142
Arash R Hassid Podiatry 1260 15th St, Suite 707, Santa Monica, CA 90404-1142
Jeffrey L Sebastian General Surgery 1260 15th St, Suite 709, Santa Monica, CA 90404-1142
Robert L Portillo Podiatry 1260 15th St, Suite 707, Santa Monica, CA 90404-1142
Find all physicians in zip 90404

Competitor

Search similar physicians

City SANTA MONICA
Zip Code 90404
Specialty PODIATRY
City + Specialty SANTA MONICA + PODIATRY

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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