Mark R Needham
PROVIDENCE SAINT JOHNS MEDICAL FOUNDATION


Address: 901 Wilshire Blvd, Fl 3, Santa Monica, CA 90401-1854
Phone: 3108298903

Mark R Needham (NPI# 1578590659, PAC ID# 7719870633) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.

Physician Overview

Nation Provider ID (NPI) 1578590659
PAC ID by PECOS 7719870633
Professional Enrollment ID I20071227000503
Full Name Mark R Needham
Organization Legal Name PROVIDENCE SAINT JOHNS MEDICAL FOUNDATION
Address 901 Wilshire Blvd
Fl 3
Santa Monica
CA 90401-1854
Phone Number 3108298903
Gender M
Medical School CASE WESTERN RESERVE UNIVERSITY SCHOOL OF MEDICINE
Graduation Year 1981
Primary Specialty FAMILY MEDICINE
Group Practice PAC ID 0840548624
Number of Group Practice Members 198
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
050290 PROVIDENCE SAINT JOHN'S HEALTH CENTER

Other Locations

Address Phone Organization
901 Wilshire Blvd, Fl 3, Santa Monica, CA 90401-1854 3108298903 PROVIDENCE SAINT JOHNS MEDICAL FOUNDATION

Organization Information

Organization Legal Name PROVIDENCE SAINT JOHNS MEDICAL FOUNDATION
Physicians 200

Physicians with the same organization

Name Specialty Organization Address
Teresa Chialin Liu Internal Medicine Providence Saint Johns Medical Foundation 12121 Santa Monica Blvd, Los Angeles, CA 90025-2515
Asad Julian Bedran Family Medicine Providence Saint Johns Medical Foundation 8570 W Sunset Blvd, West Hollywood, CA 90069-2359
Matthew K Nienaber Internal Medicine Providence Saint Johns Medical Foundation 1821 Wilshire Blvd, Suite 100, Santa Monica, CA 90403-5627
Jennifer P Carleton-nathan Family Medicine Providence Saint Johns Medical Foundation 700 S Flower St, Suite 2340, Los Angeles, CA 90017-4123
Meghan Moore Physician Assistant Providence Saint Johns Medical Foundation 525 Broadway, Suite 1101, Santa Monica, CA 90401-2971
Michelle Grotz-rhone Internal Medicine Providence Saint Johns Medical Foundation 9725 Wilshire Blvd, Beverly Hills, CA 90212-2002
Mina Kang Internal Medicine Providence Saint Johns Medical Foundation 2121 Santa Monica Blvd, Santa Monica, CA 90404-2303
Carol Nishikubo Hematology/oncology Providence Saint Johns Medical Foundation 12555 W Jefferson Blvd, Los Angeles, CA 90066-7032
Howard Ronald Krauss Ophthalmology Providence Saint Johns Medical Foundation 2125 Arizona Ave, Santa Monica, CA 90404-1337
Richard L Ross Family Medicine Providence Saint Johns Medical Foundation 901 Wilshire Blvd, Fl 3, Santa Monica, CA 90401-1854

Office Location

Street Address 901 WILSHIRE BLVD
FL 3
City SANTA MONICA
State CA
Zip 90401-1854

Physicians in the same location

Name Specialty Organization Address
Richard L Ross Family Medicine Providence Saint Johns Medical Foundation 901 Wilshire Blvd, Fl 3, Santa Monica, CA 90401-1854
Shahira Ramji Family Medicine Providence Saint Johns Medical Foundation 901 Wilshire Blvd, Fl 3, Santa Monica, CA 90401-1854
David M Cutler Family Medicine Providence Saint Johns Medical Foundation 901 Wilshire Blvd, Fl 1, Santa Monica, CA 90401-1854
Richard H Greenspun Internal Medicine Providence Saint Johns Medical Foundation 901 Wilshire Blvd, Fl 1, Santa Monica, CA 90401-1854
George E Labrot Pulmonary Disease Providence Saint Johns Medical Foundation 901 Wilshire Blvd, Fl 2, Santa Monica, CA 90401-1854
Anita M Gorwara Family Medicine Providence Saint Johns Medical Foundation 901 Wilshire Blvd, Fl 3, Santa Monica, CA 90401-1854
Theodore J Hak Family Medicine Providence Saint Johns Medical Foundation 901 Wilshire Blvd, Fl 3, Santa Monica, CA 90401-1854
Janice K Miyakawa Family Medicine Providence Saint Johns Medical Foundation 901 Wilshire Blvd, Fl 2, Santa Monica, CA 90401-1854
Velinda J Paranal Family Medicine Providence Saint Johns Medical Foundation 901 Wilshire Blvd, Fl 1, Santa Monica, CA 90401-1854
Eileen M Mcgrath Family Medicine Providence Saint Johns Medical Foundation 901 Wilshire Blvd, Fl 3, Santa Monica, CA 90401-1854
Find all physicians in the same address

Physicians in the same zip code

Name Specialty Organization Address
Kasey L Drapeau D Amato Physician Assistant Lauren L Reager A California Medical Corporation 2001 Santa Monica Blvd, 990w, Santa Monica, CA 90401-0001
Lisa M Masterson Obstetrics/gynecology 1333 Ocean Ave, Santa Monica, CA 90401-1023
Kyle J Mccurdy Clinical Social Worker Step Up On Second Street, Inc. 1328 2nd St, Santa Monica, CA 90401-1122
Dana L Harris Psychiatry Step Up On Second Street, Inc. 1328 2nd St, Santa Monica, CA 90401-1122
Sanaz Parsa Psychiatry Step Up On Second Street, Inc. 1328 2nd St, Santa Monica, CA 90401-1122
Clifford Roberts Clinical Social Worker Step Up On Second Street, Inc. 1328 2nd St, Santa Monica, CA 90401-1122
Jarrad Malamed Clinical Social Worker Step Up On Second Street, Inc. 1328 2nd St, Santa Monica, CA 90401-1122
Igor V Hunkoff Psychiatry Step Up On Second Street, Inc. 1328 2nd St, Santa Monica, CA 90401-1122
Janet Medenwald Psychiatry Step Up On Second Street, Inc. 1328 2nd St, Santa Monica, CA 90401-1122
John A Jimenez Psychiatry Step Up On Second Street, Inc. 1328 2nd St, Santa Monica, CA 90401-1122
Find all physicians in zip 90401

Competitor

Search similar physicians

City SANTA MONICA
Zip Code 90401
Specialty FAMILY MEDICINE
City + Specialty SANTA MONICA + FAMILY MEDICINE

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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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