Mark R Sawusch MD Inc

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

G65646 Issued in CA

Legal business name

MARK R SAWUSCH MD INC

Practice address

970 Monument St #204
Pacific Palisades, CA 90272

Phone

(310) 454-5521

Fax

(310) 454-1199

NPI assigned

Aug 24, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Mark Raymond Sawusch, MD

Title

MD

Phone

(310) 454-5521

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Lawrence Burns Henry, O.D.

  • Optometrist
  • Pacific Palisades, CA
  • NPI 1164585972
  NPD (past)

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

{
    "created_epoch": "1156377600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1295842292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "970 MONUMENT ST #204",
            "city": "PACIFIC PALISADES",
            "state": "CA",
            "postal_code": "90272",
            "telephone_number": "310-454-5521",
            "fax_number": "310-454-1199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "970 MONUMENT ST #204",
            "city": "PACIFIC PALISADES",
            "state": "CA",
            "postal_code": "90272",
            "telephone_number": "310-454-5521",
            "fax_number": "310-454-1199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK R SAWUSCH MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SAWUSCH",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "RAYMOND",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "310-454-5521",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "G65646",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G656461",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lynn Watanabe DDS Inc
• Julie Meyoung Ma, MD
• Malibu Beach Recovery Center, LLC
• Debra Maltenfort, MD
• Diedra R Manns, P.T.
• Ann M Marraccini, P.T.
• Tracy G Marsh, PH.D.
• Max Moncayo DDS Dental Corporation (Palisades Surgical Arts)
• Darby McCullough
• Bernadette Catherine McDonnell, PT, LCCE

• Ophthalmology Physician in Pacific Palisades, CA
• Providers in Pacific Palisades, CA by specialty
• Ophthalmology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.