Marc M. Sedwitz, M.D., Inc.

Primary specialty

Vascular Surgery PhysicianTaxonomy code 2086S0129X

Legal business name

MARC M. SEDWITZ, M.D., INC.

Practice address

9850 Genesee Ave
Suite 560
La Jolla, CA 92037-1224

Phone

(858) 452-0306

Fax

(858) 452-1421

NPI assigned

Oct 16, 2006

Organization subpart

No

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

Authorized official

Name

Marc M. Sedwitz, M.D.

Title

President

Phone

(858) 452-0306

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Pacific Coast Vascular and General Surgery, Inc. Doing business as

Locations

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

{
    "created_epoch": "1160956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1432166400000",
    "number": "1609956432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9850 GENESEE AVE",
            "address_2": "SUITE 560",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "920371224",
            "telephone_number": "858-452-0306",
            "fax_number": "858-452-1421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9850 GENESEE AVE",
            "address_2": "SUITE 560",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "920371224",
            "telephone_number": "858-452-0306",
            "fax_number": "858-452-1421"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARC M. SEDWITZ, M.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-16",
        "last_updated": "2015-05-21",
        "status": "A",
        "authorized_official_last_name": "SEDWITZ",
        "authorized_official_first_name": "MARC",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "858-452-0306",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery, Vascular Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0076800",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pacific Coast Vascular and General Surgery, Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ahmad Masood Mansour, MD
• Jacob Daniel Mansy
• Shayla C Manthei, CCC-SLP
• Eunice Ong Manzano, FNP-C
• Isaac M. Maquet, PA
• Suzanne Marcus, PH.D
• Elana Marder, MS, RD, LDN
• Tania Marie Marek, NP
• Marialyn J Sardo, M.D, Inc.
• Carla Beth Marienfeld, MD

• Vascular Surgery Physician in La Jolla, CA
• Providers in La Jolla, CA by specialty
• Vascular Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2015; 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.