Individual provider Active NPI

Joanna Maack, M.D.

  • Emergency Medicine Physician
  • Pasadena, CA
National Provider Identifier
1235381831
Registry record updated Mar 12, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
A109849 Issued in CA
Practice address
100 W California Blvd
Pasadena, CA 91105-3010
Phone
(917) 929-7870
NPI assigned
Oct 15, 2008
Last updated
Mar 12, 2015By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 12, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X A109849 CA Primary

Addresses

Primary practice location

100 W California Blvd
Pasadena, CA 91105-3010

Mailing address

8446 Sedan Ave
West Hills, CA 91304-3223

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
I20110610000351 CA Practitioner - Emergency Medicine 0446305890 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Icahn School of Medicine at Mount Sinai, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
HMH Emergency Medical Group, Inc.Group PAC ID 7911800826, 56 clinicians
Exer Medical CorporationGroup PAC ID 9032359534, 336 clinicians

Practice addresses (Care Compare)

100 W California Blvd
Pasadena, CA 91105-3010
Phone 6264470296142

26777 Agoura Rd
Suite B4
Calabasas, CA 91302-2967
Phone (818) 880-2225

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of nail tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A109849CAMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Exer Medical Corporation CurrentSince Apr 12, 2017 Accepting new patients
HMH Emergency Medical Group, Inc. Emergency Medicine CurrentSince Mar 22, 2014 Accepting new patients
Providence Facey Medical Foundation CurrentSince Feb 11, 2020 Accepting new patients
Providence Facey Medical Foundation CurrentSince Feb 11, 2020 Accepting new patients
Hoboken Emergency Physicians, PC Emergency Medicine Past Accepting new patients

Locations (25 of 37)

26777 Agoura Rd
Calabasas, CA 91302
Phone (818) 880-2225

26777 Agoura Rd
#4
Calabasas, CA 91302
Phone (818) 880-2225

26777 Agoura Rd
Ste 4
Calabasas, CA 91302
Phone (818) 880-2225

26777 Agoura Rd
Ste B4
Calabasas, CA 91302
Phone (818) 880-2225

359 Carmen Dr
Camarillo, CA 93010
Phone (805) 914-5592

235 E 17th St
Costa Mesa, CA 92627
Phone (949) 688-2010

2381 Rosecrans Ave
Ste 115
El Segundo, CA 90245
Phone (213) 335-7355

7000 Boulder Ave
Ste 103
Highland, CA 92346
Phone (515) 441-6271

4143 Campus Dr
Ste C200
Irvine, CA 92612
Phone (949) 471-0002

475 Foothill Blvd
Ste K
La Canada, CA 91011
Phone (818) 528-6377

5101 Lakewood Blvd
Lakewood, CA 90712
Phone (562) 800-3883

2090 Westwood Blvd
Los Angeles, CA 90025
Phone (213) 813-4070

4121 Santa Monica Blvd
Ste 106
Los Angeles, CA 90029
Phone (213) 335-7355

8000 W Sunset Blvd
Ste C110
Los Angeles, CA 90046
Phone (213) 412-0400

8985 Venice Blvd
Los Angeles, CA 90034
Phone (310) 474-2152

8985 Venice Blvd
Ste A3B
Los Angeles, CA 90034
Phone (424) 502-1020

File 50670
Los Angeles, CA 90074

3215 N Sepulveda Blvd
Manhattan Beach, CA 90266
Phone (424) 295-0540

4730 Lincoln Blvd
Marina del Rey, CA 90292
Phone (424) 352-0371

18460 Roscoe Blvd
Northridge, CA 91325
Phone (818) 734-3600

19346 Nordhoff St
Northridge, CA 91324
Phone (818) 727-2024

100 W California Blvd
Pasadena, CA 91105
Phone (626) 397-3445

3160 E Del Mar Blvd
Ste 110
Pasadena, CA 91107
Phone (626) 270-2400

6020 Seabluff Dr
Ste 1
Playa Vista, CA 90094
Phone (310) 862-0400

19950 Rinaldi St
Ste 103
Porter Ranch, CA 91326
Phone (818) 403-2400

Organizations & group practices 5

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.

Hospital & facility affiliations 2

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

NPI Registry JSON

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

{
    "created_epoch": "1224028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1426118400000",
    "number": "1235381831",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8446 SEDAN AVE",
            "city": "WEST HILLS",
            "state": "CA",
            "postal_code": "913043223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 W CALIFORNIA BLVD",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911053010",
            "telephone_number": "917-929-7870"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAACK",
        "first_name": "JOANNA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-10-15",
        "last_updated": "2015-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CA",
            "license": "A109849",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pasadena, CA

Sources for this page

Verify at the official NPI Registry.