Individual provider Active NPI

Alan Marco, MD

  • Anesthesiology Physician
  • Beverly Hills, CA
National Provider Identifier
1013905538
Registry record updated Jul 10, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
G36325 Issued in CA
Practice address
150 N Robertson Blvd
Suite 110
Beverly Hills, CA 90211-2142
Phone
(310) 659-2400
NPI assigned
Oct 10, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X G36325 CA Primary

Addresses

Primary practice location

150 N Robertson Blvd
Suite 110
Beverly Hills, CA 90211-2142

Mailing address

21241 Ventura Blvd
Suite 158
Woodland Hills, CA 91364-2108
Phone (818) 884-7724

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
G36325CAMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Khaz Anesthesia, Inc Anesthesiology Past Accepting new patients
Century Anesthesia Assoc. Anesthesiology PastSince Aug 1, 2005 Accepting new patients
Brotman Medical Center, Inc. Past Accepting new patients
Century City Surgical Associates a Medical Corporation Associates Medi Past Accepting new patients

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/9873/brand/2/csg/1/fhir/r4
  • FHIR API: https://api.platform.athenahealth.com/6786/brand/1/csg/1/fhir/r4

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1128902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184025600000",
    "number": "1013905538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21241 VENTURA BLVD",
            "address_2": "SUITE 158",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913642108",
            "telephone_number": "818-884-7724",
            "fax_number": "818-884-7725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 N ROBERTSON BLVD",
            "address_2": "SUITE 110",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902112142",
            "telephone_number": "310-659-2400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARCO",
        "first_name": "ALAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-10",
        "last_updated": "2007-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "CA",
            "license": "G36325",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beverly Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.