NPIMap

Individual provider Active NPI

Marc-Alan Iwahashi, M.D.,

  • Family Medicine Physician
  • Cupertino, CA
National Provider Identifier
1235123985
Registry record updated Jan 5, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
G68531 Issued in CA
Practice address
20555 Prospect Rd
Suite a
Cupertino, CA 95014-5212
Phone
(408) 253-5811
Fax
(408) 725-0583
NPI assigned
Sep 8, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X G68531 CA Primary

Addresses

Primary practice location

20555 Prospect Rd
Suite a
Cupertino, CA 95014-5212

Mailing address

20555 Prospect Rd
Suite a
Cupertino, CA 95014-5212
Phone (408) 253-5811

Other identifiers 1

IdentifierTypeStateIssuer
00G685310MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110818000625 CA Practitioner - Family Practice 8527238021 Reassigns benefits to 1 organization
Practice locations: Cupertino, CA; Mountain View, CA

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of California, San Francisco School of Medicine, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
El Camino Health Medical Network LLCGroup PAC ID 6103115183, 202 clinicians

Practice addresses (Care Compare)

2495 Hospital Dr
Suite 460
Mountain View, CA 94040-4172
Phone (408) 871-3400

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
89.25 of 100Reported as subgroup
Quality
87.84
Promoting interoperability
100
Improvement activities
40
Cost
76.33

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G68531CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
El Camino Health Medical Network, LLC CurrentSince May 1, 2022 Accepting new patients
Good Samaritan Hospital, L.P. Past Accepting new patients
El Camino Health Medical Group PastSince Sep 8, 2019 Accepting new patients
El Camino Hospital Past Accepting new patients

Locations

973 University Ave
Los Gatos, CA 95032
Phone (408) 278-3003

815 Pollard Rd
Los Gatos, CA 95032
Phone (408) 378-6131

2495 Hospital Dr
Ste 460
Mountain View, CA 94040
Phone (650) 962-4370

2495 Hospital Dr
Ste 450
Mountain View, CA 94040
Phone (650) 962-4370

2660 Grant Rd
Ste E
Mountain View, CA 94040
Phone (650) 962-4370

Interoperability endpoints

  • Direct secure messaging: miwahashi7260@icare.elcaminohospital.org

Organizations & group practices 4

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.

Hospital & facility affiliations 14

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1126137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1325721600000",
    "number": "1235123985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20555 PROSPECT RD",
            "address_2": "SUITE A",
            "city": "CUPERTINO",
            "state": "CA",
            "postal_code": "950145212",
            "telephone_number": "408-253-5811",
            "fax_number": "408-725-0583"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20555 PROSPECT RD",
            "address_2": "SUITE A",
            "city": "CUPERTINO",
            "state": "CA",
            "postal_code": "950145212",
            "telephone_number": "408-253-5811",
            "fax_number": "408-725-0583"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IWAHASHI",
        "first_name": "MARC-ALAN",
        "name_prefix": "Dr.",
        "credential": "M.D.,",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-08",
        "last_updated": "2012-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "G68531",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G685310",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cupertino, CA

Sources for this page

Verify at the official NPI Registry.