NPIMap

Individual provider Active NPI

Mark Bamberger, M.D.

  • Internal Medicine Physician
  • Beverly Hills, CA
National Provider Identifier
1346274834
Registry record updated Dec 20, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
G46165 Issued in CA
Practice address
8920 Wilshire Blvd Ste 635
Beverly Hills, CA 90211-2010
Phone
(310) 652-3870
Fax
(310) 652-4317
NPI assigned
Jul 10, 2006
Last updated
Dec 20, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X G46165 CA Primary

Addresses

Primary practice location

8920 Wilshire Blvd Ste 635
Beverly Hills, CA 90211-2010

Mailing address

8920 Wilshire Blvd Ste 635
Beverly Hills, CA 90211-2010
Phone (310) 652-3870

Other identifiers 1

IdentifierTypeStateIssuer
GR0057090MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120123000367 CA Practitioner - Internal Medicine 0143296129 Practice locations: Beverly Hills, CA

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

8920 Wilshire Blvd
Suite 310
Beverly Hills, CA 90211-2091
Phone (310) 652-3870

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G46165CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
8920 Medical Associates, Inc. Internal Medicine Current Accepting new patients
Ashkan Lee Naraghi MD Inc Past Accepting new patients

Locations

8920 Wilshire Blvd
Ste 310
Beverly Hills, CA 90211
Phone (310) 256-2426

8920 Wilshire Blvd
Ste 635
Beverly Hills, CA 90211
Phone (310) 652-3870

Interoperability endpoints

  • Direct secure messaging: mbamberger102299@direct.cshs.org

Organizations & group practices 2

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 10

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": "1152489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1292803200000",
    "number": "1346274834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8920 WILSHIRE BLVD STE 635",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902112010",
            "telephone_number": "310-652-3870",
            "fax_number": "310-652-4317"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8920 WILSHIRE BLVD STE 635",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902112010",
            "telephone_number": "310-652-3870",
            "fax_number": "310-652-4317"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAMBERGER",
        "first_name": "MARK",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-10",
        "last_updated": "2010-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "G46165",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0057090",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Beverly Hills, CA

Sources for this page

Verify at the official NPI Registry.