Individual provider Active NPI

Mark Magdy Youssef, MD

  • Surgery Physician
  • Santa Monica, CA
National Provider Identifier
1225200637
Registry record updated Nov 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
A77473 Issued in CA
Practice address
1551 Ocean Ave
Ste.#200
Santa Monica, CA 90401-2108
Phone
(310) 434-0044
Fax
(310) 434-0099
NPI assigned
Mar 25, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 10, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X A77473 CA
Plastic Surgery Physician 208200000X A77473 CA
Surgery Physician 208600000X A77473 CA Primary

Addresses

Primary practice location

1551 Ocean Ave
Ste.#200
Santa Monica, CA 90401-2108

Mailing address

PO Box 7001
Tarzana, CA 91357-7001
Phone (818) 888-7815

Other practice location 1

1317 5th St Ste 300
Santa Monica, CA 90401-1433
Phone (818) 888-7815

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
I20041012001459 CA Practitioner - General SurgeryPractitioner - Obstetrics/GynecologyPractitioner - Plastic and Reconstructive SurgeryPractitioner - Gynecological Oncology 5092775296 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
General SurgeryAlso: Obstetrics/Gynecology, Plastic and Reconstructive Surgery
Education
University of California, Irvine, California College of Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1317 5TH St
Suite 300
Santa Monica, CA 90401-1433
Phone (310) 434-0044

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A77473CAMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mark Youssef a Medical Corporation Plastic Surgery CurrentSince Aug 18, 2020 Accepting new patients
Younique Medical Group CurrentSince Sep 23, 2025 Accepting new patients

Locations

1889 N Rice Ave
Ste 201
Oxnard, CA 93030
Phone (805) 600-1550

1551 Ocean Ave
Ste 200
Santa Monica, CA 90401
Phone (310) 394-0570

1317 5th St
Ste 300
Santa Monica, CA 90401
Phone (310) 434-0044

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1206403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604966400000",
    "number": "1225200637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7001",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "913577001",
            "telephone_number": "818-888-7815",
            "fax_number": "818-715-1722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1551 OCEAN AVE",
            "address_2": "STE.#200",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904012108",
            "telephone_number": "310-434-0044",
            "fax_number": "310-434-0099"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1317 5th St Ste 300",
            "address_purpose": "LOCATION",
            "city": "Santa Monica",
            "state": "CA",
            "postal_code": "904011433",
            "country_code": "US",
            "telephone_number": "818-888-7815",
            "fax_number": "818-715-1722",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YOUSSEF",
        "first_name": "MARK",
        "middle_name": "MAGDY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-03-25",
        "last_updated": "2020-11-10",
        "certification_date": "2020-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "CA",
            "license": "A77473",
            "primary": false
        },
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "CA",
            "license": "A77473",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "CA",
            "license": "A77473",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Monica, CA

Sources for this page

Verify at the official NPI Registry.