Organization Active NPI

Marc R. Segall, M.D.

  • Ophthalmology Physician
  • Beverly Hills, CA
National Provider Identifier
1093343097
Registry record updated Aug 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
MARC R. SEGALL, M.D.
Practice address
620 N Roxbury Dr
Beverly Hills, CA 90210-3228
Phone
(310) 497-3757
NPI assigned
Mar 27, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2020

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

Authorized official

Name
Dr. Marc R Segall, M.D.NPI 1326151531
Title
Owner
Phone
(626) 277-6022

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207W00000X Primary

Addresses

Primary practice location

620 N Roxbury Dr
Beverly Hills, CA 90210-3228

Mailing address

620 N Roxbury Dr
Beverly Hills, CA 90210-3228
Phone (310) 497-3757

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200825003072 CA Part B Supplier - Clinic/Group Practice 1153748983 Receives reassigned benefits from 1 practitioner
Practice locations: Pasadena, CA; Los Angeles, CA; Montclair, CA; Montebello, CA; Montrose, CA; North Hollywood, CA; Norwalk, CA; Paramount, CA…

National Provider Directory

National Provider Directory

Locations

5960 W Pico Blvd
Los Angeles, CA 90035

1035 W Beverly Blvd
Montebello, CA 90640
Phone (323) 721-6589

2635 Honolulu Ave
Montrose, CA 91020
Phone (323) 634-1940

1515 N Fair Oaks Ave
Pasadena, CA 91103
Phone (626) 603-5280

150 Bellefontaine St
Pasadena, CA 91105
Phone (626) 793-1103

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1585267200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598486400000",
    "number": "1093343097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "620 N ROXBURY DR",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902103228",
            "telephone_number": "310-497-3757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 N ROXBURY DR",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902103228",
            "telephone_number": "310-497-3757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARC R. SEGALL, M.D.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-27",
        "last_updated": "2020-08-27",
        "certification_date": "2020-08-25",
        "status": "A",
        "authorized_official_last_name": "SEGALL",
        "authorized_official_first_name": "MARC",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "626-277-6022",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "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 Aug 27, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.