Individual provider Active NPI

Howard Marx, MD

  • Diagnostic Radiology Physician
  • Pasadena, CA
National Provider Identifier
1356307136
Registry record updated Jul 23, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
G48962 Issued in CA
Practice address
2090 Woodlyn Ave.
Pasadena, CA 91104
Phone
(626) 398-7642
NPI assigned
Apr 21, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X G48962 CA
Diagnostic Radiology Physician 2085R0202X G48962 CA Primary

Addresses

Primary practice location

2090 Woodlyn Ave.
Pasadena, CA 91104

Mailing address

2090 Woodlyn Ave.
Pasadena, CA 91104

Other practice location 1

1500 E Duarte Rd
Duarte, CA 91010
Phone (626) 359-8111

Other practice location 2

1500 E Duarte Rd
Duarte, CA 91010
Phone (626) 359-8111

Other identifiers 1

IdentifierTypeStateIssuer
00G489620MedicaidCA

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)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
48962CAMDGeneral Practice Dentistry
G48962CAMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
California Cancer Specialists Medical Group Inc Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: hmarx9901@cityofhope.direct-ci.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1145577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1532304000000",
    "number": "1356307136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2090 WOODLYN AVE.",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "91104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2090 WOODLYN AVE.",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "91104",
            "telephone_number": "626-398-7642"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1500 E Duarte Rd",
            "address_purpose": "LOCATION",
            "city": "Duarte",
            "state": "CA",
            "postal_code": "91010",
            "country_code": "US",
            "telephone_number": "626-359-8111",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1500 E Duarte Rd",
            "address_purpose": "LOCATION",
            "city": "Duarte",
            "state": "CA",
            "postal_code": "91010",
            "country_code": "US",
            "telephone_number": "626-359-8111",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARX",
        "first_name": "HOWARD",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-21",
        "last_updated": "2018-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "G48962",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "G48962",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G489620",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pasadena, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2018; 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.