Individual provider Active NPI

Katie L Marks, M.D.

  • Internal Medicine Physician
  • Culver City, CA
National Provider Identifier
1154596047
Registry record updated Oct 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A116095 Issued in CA
Practice address
3831 Hughes Ave Ste 600a
Culver City, CA 90232
Phone
(424) 603-4544
Fax
(424) 603-4546
NPI assigned
Apr 23, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 29, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A116095 CA Primary

Addresses

Primary practice location

3831 Hughes Ave Ste 600a
Culver City, CA 90232

Mailing address

3831 Hughes Ave Ste 600a
Culver City, CA 90232-6843
Phone (424) 603-4544

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20110926000439 CA Practitioner - Allergy/Immunology 3274704135 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Allergy/Immunology
Education
University of Maryland School of Medicine, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3831 Hughes Ave
Suite 600a
Culver City, CA 90232-6843
Phone (424) 603-4544

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A116095CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Joyce Schoettler M D a Professional Corporation CurrentSince Jul 1, 2026 Accepting new patients
Katie Marks Cogan MD Inc a California Professional Medical Corporation Current Accepting new patients
Clear Allergy Inc CurrentSince May 15, 2019 Accepting new patients

Locations

3831 Hughes Ave
Ste 600A
Culver City, CA 90232
Phone (424) 603-4544

390 N Pacific Coast Hwy
Ste 1060
El Segundo, CA 90245
Phone (310) 371-1388

6345 Balboa Blvd
Ste 350
Encino, CA 91316

20911 Earl St
Ste 301
Torrance, CA 90503
Phone (310) 371-1388

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1208908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730160000000",
    "number": "1154596047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3831 HUGHES AVE STE 600A",
            "city": "CULVER CITY",
            "state": "CA",
            "postal_code": "902326843",
            "telephone_number": "424-603-4544",
            "fax_number": "424-603-4546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3831 HUGHES AVE STE 600A",
            "city": "CULVER CITY",
            "state": "CA",
            "postal_code": "90232",
            "telephone_number": "424-603-4544",
            "fax_number": "424-603-4546"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARKS",
        "first_name": "KATIE",
        "middle_name": "L",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-04-23",
        "last_updated": "2024-10-29",
        "certification_date": "2024-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A116095",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Culver City, CA

Sources for this page

Verify at the official NPI Registry.