Mark Hestrin, M.D.

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

D0043563 Issued in MD

Practice address

29525 Canwood St Ste 220
Agoura Hills, CA 91301-4231

Phone

(310) 903-1980

NPI assigned

Feb 11, 2008

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Enrolled in DC, CA2 enrollments

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 2

Specialty

Anesthesiology

Education

Northwestern University Feinberg Medical School, 1986

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Intrepid Anesthesia Associates Corporation

  • Anesthesiology Physician
  • Santa Barbara, CA
  • NPI 1912223983

  DC, Multi-Specialty

  Medicare reassignment NPD Authorized official
• Intrepid Anesthesia Associates LLC

  • Anesthesiology Physician
  • Chevy Chase, MD
  • NPI 1710836697

  DC

  Medicare reassignment NPD Authorized official
• Oak Anesthesia Associates LLC

  • Anesthesiology Physician
  • Chevy Chase, MD
  • NPI 1609725498

  DC

  Medicare reassignment NPD Authorized official
• Oak Anesthesia Associates Medical

  • Anesthesiology Physician
  • Chevy Chase, MD
  • NPI 1699804914

  DC, Multi-Specialty

  Medicare reassignment NPD Authorized official
• Pacifica Emergency Medical Associates

  • Emergency Medicine Physician
  • Encino, CA
  • NPI 1053350975

  Multi-Specialty

  NPD (past)
• Conception Center, Inc.

  • Radiology Clinic/Center
  • Rockville, MD
  • NPI 1104380658
  NPD (past)
• Conception Center, Inc.

  • Clinical Medical Laboratory
  • Rockville, MD
  • NPI 1184189375
  NPD (past)
• First Colonies Anesthesia Associates, LLC

  • Anesthesiology Physician
  • Columbia, MD
  • NPI 1740218767

  Multi-Specialty

  NPD (past)

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

{
    "created_epoch": "1202688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562976000000",
    "number": "1417125600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 261070",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "914261070",
            "telephone_number": "310-903-1980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29525 CANWOOD ST STE 220",
            "city": "AGOURA HILLS",
            "state": "CA",
            "postal_code": "913014231",
            "telephone_number": "310-903-1980"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "427 W Pueblo St Ste C",
            "address_purpose": "LOCATION",
            "city": "Santa Barbara",
            "state": "CA",
            "postal_code": "931056206",
            "country_code": "US",
            "telephone_number": "310-903-1980",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HESTRIN",
        "first_name": "MARK",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-02-11",
        "last_updated": "2019-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology",
            "state": "CA",
            "license": "G062996",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "MD",
            "license": "D0043563",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "G062996",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology",
            "state": "MD",
            "license": "D0043563",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Healing Halo Hospice and Palliative Care, Inc.
• Theresa M Hennessey, LCSW
• William Gabriel Hepner
• Miguel Alejandro Hernandez Avalos, DDS
• Rozita Herschenfeld, PHARM.D.
• Mina Heydari, PMHNP-BC
• Highlands in Bloom, LLC
• Linda Berris Hill, MFT
• Hilltop Dental Office of George Apelian, DDS Inc.
• Corey Hirsch, LCSW

• Anesthesiology Physician in Agoura Hills, CA
• Providers in Agoura Hills, CA by specialty
• Anesthesiology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.