Individual provider Active NPI

Marvi Iqbal, M.D. , MPH

  • Dermatology Physician
  • La Palma, CA
National Provider Identifier
1205015211
Registry record updated Oct 10, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
A98780 Issued in CA
Practice address
7851 Walker St
Suite 105
La Palma, CA 90623-1747
Phone
(714) 670-1261
Fax
(714) 670-2873
NPI assigned
Oct 25, 2007
Last updated
Oct 10, 2014By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 10, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X A98780 CA Primary

Addresses

Primary practice location

7851 Walker St
Suite 105
La Palma, CA 90623-1747

Mailing address

7851 Walker St
Suite 105
La Palma, CA 90623-1747
Phone (714) 670-1261

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
I20091207000288 CA Practitioner - Dermatology 9931248820 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
University of California, Geffen School of Medicine, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

7851 Walker St
Suite 105
La Palma, CA 90623-1734
Phone (714) 670-1261

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as individual
Quality
100
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions1254
Removal of skin cancer39
Removal or shaving of skin growth13
Skin biopsy99

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Marvi Iqbal MD Inc Dermatology CurrentSince Jan 1, 2013 Accepting new patients
Island Dermatology, Inc Dermatology Past Accepting new patients

Locations

7851 Walker St
Ste 105
La Palma, CA 90623
Phone (714) 553-6313

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1193270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1412899200000",
    "number": "1205015211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7851 WALKER ST",
            "address_2": "SUITE 105",
            "city": "LA PALMA",
            "state": "CA",
            "postal_code": "906231747",
            "telephone_number": "714-670-1261",
            "fax_number": "714-670-2873"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7851 WALKER ST",
            "address_2": "SUITE 105",
            "city": "LA PALMA",
            "state": "CA",
            "postal_code": "906231747",
            "telephone_number": "714-670-1261",
            "fax_number": "714-670-2873"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IQBAL",
        "first_name": "MARVI",
        "name_prefix": "Dr.",
        "credential": "M.D. , MPH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-10-25",
        "last_updated": "2014-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "CA",
            "license": "A98780",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Palma, CA

Sources for this page

Verify at the official NPI Registry.