Marc A. Futernick, M.D.

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

A64094 Issued in CA

Practice address

1401 S Grand Ave
Emergency Department
Los Angeles, CA 90015-3010

Phone

(213) 742-5411

Fax

(213) 742-6350

NPI assigned

May 15, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Interoperability endpoints

• Direct secure messaging: mfuternick728814@direct.ochin.org
• Direct secure messaging: marc.futernick.1@15375.direct.athenahealth.com
• Direct secure messaging: marc.futernick.1@26368.direct.athenahealth.com

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.

• Mideo Health of California Inc

  • Emergency Medicine Physician
  • Pasadena, CA
  • NPI 1154151157
  NPD
• El Dorado County Community Health Center

  • Federally Qualified Health Center (FQHC)
  • Placerville, CA
  • NPI 1316050107
  NPD (past)
• Memorial Emergency Physicians Medical Group, Inc

  • Emergency Medical Services (Emergency Medicine) Physician
  • Indio, CA
  • NPI 1275821308
  NPD (past)

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

{
    "created_epoch": "1147651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1405209600000",
    "number": "1528019239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1267 S LOS ROBLES AVE",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911064316",
            "telephone_number": "626-403-6954",
            "fax_number": "213-742-6350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 S GRAND AVE",
            "address_2": "EMERGENCY DEPARTMENT",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900153010",
            "telephone_number": "213-742-5411",
            "fax_number": "213-742-6350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FUTERNICK",
        "first_name": "MARC",
        "middle_name": "A.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-15",
        "last_updated": "2014-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CA",
            "license": "A64094",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "A64094",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tiffany Fussell, LMT
• Glenn Fuster
• Joaquin Fuster
• David Grgory Futema
• Joseph Le Futerman Jr., LMFT
• Kyla Michelle Futrell
• Future Hope Outreach Foundation
• Future Hope Outreach Foundation
• Future Moons
• Alyssa Nicole Fye, CCC-SLP

• Emergency Medicine Physician in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Emergency Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2014; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.