Active NPI
Alan Marco, MD
- Anesthesiology Physician
- Beverly Hills, CA
National Provider Identifier
1013905538
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- G36325
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| G36325 | CA | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Khaz Anesthesia, Inc | Anesthesiology | Past | Accepting new patients |
| Century Anesthesia Assoc. | Anesthesiology | Past | 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
- https://api.platform.athenahealth.com/9873/brand/2/csg/1/fhir/r4
- 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.
-
- General Acute Care Hospital
- Culver City, CA
- NPI 1205925054
-
- Anesthesiology Physician
- Beverly Hills, CA
- NPI 1326036781
-
dba Century City Surgical Associates A Medical Corporation
- Surgery Physician
- Culver City, CA
- NPI 1053490755
-
- Anesthesiology Physician
- Tarzana, CA
- NPI 1770928459
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.