Individual provider Active NPI

Mark Evan Warlen, MD

  • Ophthalmology Physician
  • San Diego, CA
National Provider Identifier
1518922178
Registry record updated Jan 4, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
A52492 Issued in CA
Practice address
3720 Third Ave
San Diego, CA 92103-4112
Phone
(619) 298-7221
Fax
(619) 298-8609
NPI assigned
Apr 18, 2006
Last updated
Jan 4, 2011By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 4, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X A52492 CA Primary

Addresses

Primary practice location

3720 Third Ave
San Diego, CA 92103-4112

Mailing address

3720 Third Ave
San Diego, CA 92103-4112
Phone (619) 298-7221

Other identifiers 1

IdentifierTypeStateIssuer
8390034MedicaidCA

Medicare participation

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

Enrollment IDStateProvider typePAC IDDetails
I20110405000697 CA Practitioner - Ophthalmology 8921110743 Practice locations: San Diego, CA
O20100930068767 CA DME Supplier - Physician - OptometristDME Supplier - Optician 1658483474 Practice locations: San Diego, CA

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Baylor College of Medicine, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3720 3Rd Ave
San Diego, CA 92103-4112
Phone (619) 298-7221

Merit-based Incentive Payment System (MIPS)

Final score
22.38 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
74.6

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery151

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A52492CAMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mark Evan Warlen CurrentSince Jul 20, 1998 Accepting new patients
Scripps Health Current Accepting new patients
Scripps Health Past Accepting new patients
Regents of the University of California Past Accepting new patients
Scripps Health Past Accepting new patients

Locations

3720 3rd Ave
San Diego, CA 92103
Phone (619) 298-7221

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: mwhalen31851@scrippshlth.medalliesdirect.net

Organizations & group practices 5

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": "1145318400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1294099200000",
    "number": "1518922178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3720 THIRD AVE",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921034112",
            "telephone_number": "619-298-7221",
            "fax_number": "619-298-8609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3720 THIRD AVE",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921034112",
            "telephone_number": "619-298-7221",
            "fax_number": "619-298-8609"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WARLEN",
        "first_name": "MARK",
        "middle_name": "EVAN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-18",
        "last_updated": "2011-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "A52492",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8390034",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

Verify at the official NPI Registry.