Individual provider Active NPI

Mark Hrymoc, MD

  • Psychiatry Physician
  • Los Angeles, CA
National Provider Identifier
1225118045
Registry record updated Jan 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
A85284 Issued in CA
Practice address
8631 W 3Rd St Ste 1100E
Los Angeles, CA 90048-5914
Phone
(310) 601-9999
Fax
(310) 601-9999
NPI assigned
Oct 16, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 20, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction Psychiatry Physician 2084P0802X A85284 CA
Psychiatry Physician 2084P0800X A85284 CA Primary

Addresses

Primary practice location

8631 W 3Rd St Ste 1100E
Los Angeles, CA 90048-5914

Mailing address

8631 W 3Rd St Ste 1100E
Los Angeles, CA 90048-5914
Phone (310) 601-9999

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Dec 18, 2013 through Dec 18, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
85284CAMDMental Health Counselor
A85284CAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mental Health Center Psychiatry CurrentSince Jan 24, 2021 Accepting new patients
Sig1,LLC Past Accepting new patients
Tcsrzs Holdings LLC Past Accepting new patients

Locations

8631 W 3rd St
Ste 920E
Los Angeles, CA 90048
Phone (310) 601-9999

8631 W 3rd St
Ste 1100E
Los Angeles, CA 90048
Phone (310) 601-9999

Interoperability endpoints

  • Direct secure messaging: mhrymoc37824@direct.uclahealth.org

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": "1160956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611100800000",
    "number": "1225118045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8631 W 3RD ST STE 1100E",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900485914",
            "telephone_number": "310-601-9999",
            "fax_number": "310-601-9999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8631 W 3RD ST STE 1100E",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900485914",
            "telephone_number": "310-601-9999",
            "fax_number": "310-601-9999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HRYMOC",
        "first_name": "MARK",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-16",
        "last_updated": "2021-01-20",
        "certification_date": "2021-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0802X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Addiction Psychiatry",
            "state": "CA",
            "license": "A85284",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "A85284",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.