Individual provider Active NPI

Allan Steven Marks, M.D.

  • Pediatrics Physician
  • San Francisco, CA
National Provider Identifier
1285762021
Registry record updated Sep 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
13045 Issued in HI
Practice address
650 5TH St Ste 405
San Francisco, CA 94107-1541
Phone
(415) 231-5333
Fax
(415) 231-5332
NPI assigned
Mar 1, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 17, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD186103 OR
Pediatrics Physician 208000000X 13045 HI Primary
Family Medicine Physician 207Q00000X G45261 CA

Addresses

Primary practice location

650 5TH St Ste 405
San Francisco, CA 94107-1541

Mailing address

650 5TH St Ste 405
San Francisco, CA 94107-1541
Phone (415) 231-5333

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
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
I20220606000634 NV Practitioner - Pediatric Medicine 1355662768

Care Compare profile

Medicare Care Compare
Specialty
Pediatric Medicine
Education
University of Rochester School of Medicine and Dentistry, 1980
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

15 Grumman Rd W
Suite 1400
Bethpage, NY 11714-5029

PO Box
Los Angeles, CA 90084

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
16501NVMDPharmacist
G45261CAMDFamily Medicine Physician
MD186103ORMDFamily Medicine Physician
13045HIMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Samg Inc Past Accepting new patients

Organizations & group practices 1

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": "1172707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726531200000",
    "number": "1285762021",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "650 5TH ST STE 405",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941071541",
            "telephone_number": "415-231-5333",
            "fax_number": "415-231-5332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "650 5TH ST STE 405",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941071541",
            "telephone_number": "415-231-5333",
            "fax_number": "415-231-5332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARKS",
        "first_name": "ALLAN",
        "middle_name": "STEVEN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-01",
        "last_updated": "2024-09-17",
        "certification_date": "2024-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OR",
            "license": "MD186103",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "HI",
            "license": "13045",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "G45261",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

Verify at the official NPI Registry.