Individual provider Active NPI

Marc Jeffrey Meth, MD

  • Clinical & Laboratory Immunology (Allergy & Immunology) Physician
  • Los Angeles, CA
National Provider Identifier
1508013301
Registry record updated Oct 8, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical & Laboratory Immunology (Allergy & Immunology) PhysicianTaxonomy code 207KI0005X
License
A103999 Issued in CA
Practice address
2080 Century Park E Ste 810
Los Angeles, CA 90067-2011
Phone
(310) 556-1377
NPI assigned
Aug 22, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2009

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical & Laboratory Immunology (Allergy & Immunology) Physician 207KI0005X 237973 NY
Clinical & Laboratory Immunology (Allergy & Immunology) Physician 207KI0005X A103999 CA Primary

Addresses

Primary practice location

2080 Century Park E Ste 810
Los Angeles, CA 90067-2011

Mailing address

2080 Century Park E Ste 810
Los Angeles, CA 90067-2011
Phone (310) 556-1377

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20091001000254 CA Practitioner - Allergy/ImmunologyPractitioner - Internal Medicine 4688710890 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Allergy/ImmunologyAlso: Internal Medicine
Education
University of California, Geffen School of Medicine, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Marc J Meth MD IncGroup PAC ID 8123273828, 3 clinicians

Practice addresses (Care Compare)

2080 Century Park E
Suite 810
Los Angeles, CA 90067-2011
Phone (310) 556-1377

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
103999CAMDSocial Worker
237973NYMDClinical & Laboratory Immunology (Allergy & Immunology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Marc J. Meth, M.D., Inc. Clinical & Laboratory Immunology CurrentSince Nov 17, 2012 Accepting new patients

Locations

2080 Century Park E
Ste 810
Los Angeles, CA 90067
Phone (310) 556-1377

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1219363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1254960000000",
    "number": "1508013301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2080 CENTURY PARK E STE 810",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900672011",
            "telephone_number": "310-556-1377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2080 CENTURY PARK E STE 810",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900672011",
            "telephone_number": "310-556-1377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "METH",
        "first_name": "MARC",
        "middle_name": "JEFFREY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-08-22",
        "last_updated": "2009-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207KI0005X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology, Clinical & Laboratory Immunology",
            "state": "NY",
            "license": "237973",
            "primary": false
        },
        {
            "code": "207KI0005X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology, Clinical & Laboratory Immunology",
            "state": "CA",
            "license": "A103999",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.