Marcil M. Mamita, M.D., a Medical Corporation

Primary specialty

Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X

Legal business name

MARCIL M. MAMITA, M.D., A MEDICAL CORPORATION

Practice address

3655 Lomita Blvd Ste 418
Torrance, CA 90505-1934

Phone

(310) 530-6900

Fax

(310) 530-6902

NPI assigned

Feb 16, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Marcil M. Mamita, M.D.,NPI 1962412718

Title

President

Phone

(310) 490-6954

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Marcil M Mamita, MD

  • Geriatric Medicine (Internal Medicine) Physician
  • Torrance, CA
  • NPI 1962412718
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1266278400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1552003200000",
    "number": "1295057313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "941 STANFORD ST",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904032223",
            "telephone_number": "310-490-6954",
            "fax_number": "310-490-6954"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3655 LOMITA BLVD STE 418",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905051934",
            "telephone_number": "310-530-6900",
            "fax_number": "310-530-6902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARCIL M. MAMITA, M.D., A MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-16",
        "last_updated": "2019-03-08",
        "status": "A",
        "authorized_official_last_name": "MAMITA",
        "authorized_official_first_name": "MARCIL",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-490-6954",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D.,"
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marc Rheingold
• Lauren Marcell
• Alfa Marcellana
• Bernard Dayao Marcelo, FNP
• Adrian Marchena Franceschi, DMD
• Gordon Marcina, RN
• Lynn Marcinko McFarr, PHD
• McKenzie Reese Marcinkowski
• Robert Marcus, MD
• Mardu Inc Dba Visiting Angels

• Geriatric Medicine (Internal Medicine) Physician in Torrance, CA
• Providers in Torrance, CA by specialty
• Geriatric Medicine (Internal Medicine) Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.