NPIMap

Individual provider Active NPI

Christopher Julian Marrocco, MD

  • Vascular Surgery Physician
  • Lynwood, CA
National Provider Identifier
1124208459
Registry record updated Aug 5, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
N7138 Issued in TX
Practice address
3680 E Imperial Hwy
Suite 502
Lynwood, CA 90262-2659
Phone
(562) 698-0271
Fax
(562) 698-7467
NPI assigned
Nov 3, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 5, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X A94282 CA
Vascular Surgery Physician 2086S0129X N7138 TX Primary

Addresses

Primary practice location

3680 E Imperial Hwy
Suite 502
Lynwood, CA 90262-2659

Mailing address

3680 E Imperial Hwy
Suite 502
Lynwood, CA 90262-2659
Phone (562) 698-0271

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120106000292 CA Practitioner - Vascular Surgery 1052508389 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Vascular Surgery
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Vascular and Thoracic Associates of Los AngelesGroup PAC ID 0042248627, 2 clinicians

Practice addresses (Care Compare)

3680 E Imperial Hwy
Suite 502
Lynwood, CA 90262-2661
Phone (562) 698-0271

Hospital & facility affiliations

  • Saint Francis Medical Center Hospital, Lynwood, CA, CCN 050104
  • Memorial Hospital of Gardena Hospital, Gardena, CA, CCN 050468

Merit-based Incentive Payment System (MIPS)

Final score
95.98 of 100Reported as group
Quality
100
Improvement activities
40
Cost
53.26

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal55
Leg revascularization (restoring blood flow)157
Removal of tissue15

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
94282CAMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
Vascular & Thoracic Associates of Los Angeles CurrentSince Nov 13, 2013 Accepting new patients
Endovascular Surgical Associates of Los Angeles Vascular Surgery Current Accepting new patients
Martin Luther King, Jr. - Los Angeles (MLK-la) Healthcare Corporation Past Accepting new patients
Pomona Valley Hospital Medical Center Past Accepting new patients
Saint Francis Medical Center Past Accepting new patients
Dignity Community Care Past Accepting new patients
Los Alamitos Medical Center, Inc. Past Accepting new patients
Long Beach Memorial Medical Past Accepting new patients
Regents Univ of Calif Los Angeles Past Accepting new patients

Locations

1251 W Redondo Beach Blvd
Fl 3
Gardena, CA 90247
Phone (310) 965-0500

3680 E Imperial Hwy
Ste 502
Lynwood, CA 90262
Phone (310) 905-3331

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/IEHFCA

Organizations & group practices 9

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.

Hospital & facility affiliations 2

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": "1194048000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1407196800000",
    "number": "1124208459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3680 E IMPERIAL HWY",
            "address_2": "SUITE 502",
            "city": "LYNWOOD",
            "state": "CA",
            "postal_code": "902622659",
            "telephone_number": "562-698-0271",
            "fax_number": "562-698-7467"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3680 E IMPERIAL HWY",
            "address_2": "SUITE 502",
            "city": "LYNWOOD",
            "state": "CA",
            "postal_code": "902622659",
            "telephone_number": "562-698-0271",
            "fax_number": "562-698-7467"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARROCCO",
        "first_name": "CHRISTOPHER",
        "middle_name": "JULIAN",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-11-03",
        "last_updated": "2014-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "CA",
            "license": "A94282",
            "primary": false
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "TX",
            "license": "N7138",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lynwood, CA

Sources for this page

Verify at the official NPI Registry.