Individual provider Active NPI

Evan Marlowe, M.D.

  • Sports Medicine (Physical Medicine & Rehabilitation) Physician
  • Sherman Oaks, CA
National Provider Identifier
1194863514
Registry record updated Mar 28, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081S0010X
License
A067389 Issued in CA
Practice address
15477 Ventura Blvd
Ste 100
Sherman Oaks, CA 91403-3006
Phone
(818) 906-6900
Fax
(818) 906-6903
NPI assigned
Feb 1, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 28, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Physical Medicine & Rehabilitation) Physician 2081S0010X A067389 CA Primary

Addresses

Primary practice location

15477 Ventura Blvd
Ste 100
Sherman Oaks, CA 91403-3006

Mailing address

28049 Smyth Dr
Valencia, CA 91355
Phone (818) 906-6900

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
I20040405000962 CA Practitioner - Physical Medicine and Rehabilitation 6305838905 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A067389CAMDSports Medicine (Physical Medicine & Rehabilitation) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Marlowe Institute Sports Medicine CurrentSince Jan 1, 2012 Accepting new patients
Attarchi Medical Group Inc Past Accepting new patients

Locations

15477 Ventura Blvd
Ste 100
Sherman Oaks, CA 91403
Phone (818) 906-2141

28049 Smyth Dr
Valencia, CA 91355
Phone (661) 705-9706

7320 Woodlake Ave
Ste 150
West Hills, CA 91307
Phone (310) 560-1974

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": "1170288000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1364428800000",
    "number": "1194863514",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28049 SMYTH DR",
            "city": "VALENCIA",
            "state": "CA",
            "postal_code": "91355",
            "telephone_number": "818-906-6900",
            "fax_number": "818-906-6903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15477 VENTURA BLVD",
            "address_2": "STE 100",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914033006",
            "telephone_number": "818-906-6900",
            "fax_number": "818-906-6903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARLOWE",
        "first_name": "EVAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-01",
        "last_updated": "2013-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2081S0010X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Sports Medicine",
            "state": "CA",
            "license": "A067389",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sherman Oaks, CA

Sources for this page

Verify at the official NPI Registry.