Glenn A Marshak, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

G78454 Issued in CA

Practice address

8920 Wilshire Blvd
Beverly Hills, CA 90211-2007

Phone

(310) 553-5203

NPI assigned

Feb 15, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

All facility ownership & control disclosures 3

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 3

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• Emerald Gardens Hospice, Inc.

  • Community Based Hospice Care Agency
  • Upland, CA
  • NPI 1982142170

  Corporate Director, Corporate Officer, Other, W-2 Managing Employee

  CMS ownership
• Hospice of Orange County, Inc.

  • Community Based Hospice Care Agency
  • Fullerton, CA
  • NPI 1417381336

  Corporate Director, Corporate Officer

  CMS ownership
• Santo Nino Health Center

  • Federally Qualified Health Center (FQHC)
  • Panorama City, CA
  • NPI 1194461129

  Corporate Officer

  CMS ownership

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.

• Santo Nino Health Center

  • Federally Qualified Health Center (FQHC)
  • Panorama City, CA
  • NPI 1194461129

  CA

  Medicare reassignment NPD (past) Authorized official
• Innovative Medical Solutions Inc a Medical Group

  • Adolescent Medicine (Internal Medicine) Physician
  • Panorama City, CA
  • NPI 1972624955

  CA

  Medicare reassignment Authorized official
• Mmi Medical Group, Inc

  • Internal Medicine Physician
  • Lancaster, CA
  • NPI 1003252826

  Internal Medicine

  NPD (past) Authorized official
• Mmi Medical Group, Inc.

  • Infusion Therapy Clinic/Center
  • Los Angeles, CA
  • NPI 1396159778
  NPD
• California Wound Healing Medical Group Inc.

  • Surgical Physician Assistant
  • Alhambra, CA
  • NPI 1235333972
  NPD (past)
• Healing Edge Medical Group - Ca

  • Surgical Physician Assistant
  • Alhambra, CA
  • NPI 1982432506
  NPD (past)
• New Hope Podiatry Group Inc.

  • Foot & Ankle Surgery Podiatrist
  • Alhambra, CA
  • NPI 1447670955
  NPD (past)

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

{
    "created_epoch": "1139961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1478131200000",
    "number": "1104890029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8920 WILSHIRE BLVD",
            "address_2": "SUITE 310",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902112007",
            "telephone_number": "310-553-5203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8920 WILSHIRE BLVD",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902112007",
            "telephone_number": "310-553-5203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARSHAK",
        "first_name": "GLENN",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-15",
        "last_updated": "2016-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "G78454",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marpeh Medical
• Marquee Interpreting, Inc
• Marriage Family Therapy Institute of Southern California
• Brett Marroquin, PH.D
• Erin Marsh, M.S., CCC-SLP
• Harry Marshak, M.D.
• Marshall L. Kadner, M.D., Inc.
• Andre Paul Marshall, MD
• Jean H Marshall, LAC
• Carmen Marti, MSN FNP-BC

• All providers in Beverly Hills, CA
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.