Active NPI
Mark Iver Honig, M.D.
- Psychiatry Physician
- San Pedro, CA
National Provider Identifier
1285703769
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- A24212
- Practice address
- 150 W 7TH St
San Pedro, CA 90731-3320 - Phone
- (310) 519-6100
- NPI assigned
- Nov 7, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | A24212 | CA | Primary |
Addresses
Primary practice location
150 W 7TH St
San Pedro, CA 90731-3320
Mailing address
2548 Via Sanchez
Palos Verdes Estates, CA 90274-2806
Phone (310) 544-7836
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00A242120 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A24212 | CA | MD | Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162857600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1364774400000",
"number": "1285703769",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2548 VIA SANCHEZ",
"city": "PALOS VERDES ESTATES",
"state": "CA",
"postal_code": "902742806",
"telephone_number": "310-544-7836"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "150 W 7TH ST",
"city": "SAN PEDRO",
"state": "CA",
"postal_code": "907313320",
"telephone_number": "310-519-6100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HONIG",
"first_name": "MARK",
"middle_name": "IVER",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-07",
"last_updated": "2013-04-01",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "CA",
"license": "A24212",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00A242120",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in San Pedro, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.