Active NPI
Mark R Logvin, M.D.
- Anesthesiology Physician
- Folsom, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- A97020
- Practice address
- 1650 Creekside Dr
Folsom, CA 95630-3400 - Phone
- (916) 983-7561
- Fax
- (916) 984-7392
- NPI assigned
- Oct 2, 2006
- Last updated
- Jun 12, 2013
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | A97020 | CA | Primary |
| Internal Medicine Physician | 207R00000X | A97020 | CA |
Addresses
Primary practice location
1650 Creekside Dr
Folsom, CA 95630-3400
Mailing address
PO Box 1809
Orange, CA 92856-0809
Phone (714) 560-1580
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA, TN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
155 Glasson Way
Grass Valley, CA 95945-5723
Phone (530) 274-6000
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 65.57 of 100
- Quality
- 59.49
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A97020 | CA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cep America - Anesthesia PC | Anesthesiology | Current | Accepting new patients |
| First Choice Physician Partners | Current | Accepting new patients | |
| Anesthesia Medical Group, PC | Anesthesiology | Current | Accepting new patients |
| First Choice Physician Partners | Internal Medicine | Current | Accepting new patients |
| Cep America - Anesthesia PC | Anesthesiology | Current | Accepting new patients |
| Cep America - Anesthesia, PC | Anesthesiology | Current | Accepting new patients |
| First Choice Physician Partners | Current | Accepting new patients | |
| Cep America - Anesthesia PC | Anesthesiology | Past | Accepting new patients |
Locations
8135 Saratoga Way
El Dorado Hls, CA 95762
Phone (815) 997-2939
1650 Creekside Dr
Folsom, CA 95630
Phone (916) 983-7400
1651 Creekside Dr
Ste 100
Folsom, CA 95630
Phone (702) 458-2304
5220 Douglas Blvd
Granite Bay, CA 95746
Phone (707) 430-3740
155 Glasson Way
Grass Valley, CA 95945
Phone (530) 274-6000
975 S Fairmont Ave
Lodi, CA 95240
Phone (209) 339-7575
1205 E North St
Manteca, CA 95336
Phone (209) 239-8301
1441 Florida Ave
Modesto, CA 95350
Phone (209) 214-7235
1541 Florida Ave
Ste 101
Modesto, CA 95350
Phone (209) 575-3839
1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423
4001 J St
Sacramento, CA 95819
Phone (916) 453-4037
110 29th Ave N
Ste 202
Nashville, TN 37203
Phone (615) 327-7870
2000 Church St
Nashville, TN 37236
Phone (615) 284-4672
Organizations & group practices 8
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
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- NPI 1790401438
-
dba Greater Modesto Medical Surgical Associates
- Neurological Surgery Physician
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- NPI 1104183052
-
- Anesthesiology Physician
- Nashville, TN
- NPI 1215932413
-
- Family Medicine Physician
- Palm Springs, CA
- NPI 1558797118
Internal Medicine
-
dba De La Pena Eye Clinic, A Medical Group
- Ophthalmology Physician
- El Monte, CA
- NPI 1912732892
-
- Anesthesiology Physician
- Langhorne, PA
- NPI 1093678229
-
- Anesthesiology Physician
- Fremont, CA
- NPI 1982009759
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159747200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1370995200000",
"number": "1114011566",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1809",
"city": "ORANGE",
"state": "CA",
"postal_code": "928560809",
"telephone_number": "714-560-1580",
"fax_number": "714-560-1585"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1650 CREEKSIDE DR",
"city": "FOLSOM",
"state": "CA",
"postal_code": "956303400",
"telephone_number": "916-983-7561",
"fax_number": "916-984-7392"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOGVIN",
"first_name": "MARK",
"middle_name": "R",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-02",
"last_updated": "2013-06-12",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "CA",
"license": "A97020",
"primary": true
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CA",
"license": "A97020",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Folsom, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.