Active NPI
Alex E. Mari, M.D.
- Family Medicine Physician
- Modesto, CA
National Provider Identifier
1609976562
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- G71950
- Practice address
- 1448 Florida Ave
Modesto, CA 95350-4424 - Phone
- (209) 523-1884
- Fax
- (209) 522-6002
- NPI assigned
- Sep 22, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | G71950 | CA | Primary |
Addresses
Primary practice location
1448 Florida Ave
Modesto, CA 95350-4424
Mailing address
1448 Florida Ave
Modesto, CA 95350-4424
Phone (209) 523-1884
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| GR002100 | Medicaid | CA |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20080604000354 | CA | Practitioner - Family Practice | 0547330433 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 71950 | CA | MD | Marriage & Family Therapist |
| G71950 | CA | MD | Family Medicine Physician |
Practice roles (1 of 2)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Orangeburg Medical Group | Family Medicine | Current | Accepting new patients |
Locations
1448 Florida Ave
Modesto, CA 95350
Phone (209) 523-1884
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Interoperability endpoints
- amari@direct-address.org
- https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.441.505006
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.
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Salida, CA
- NPI 1972809838
-
- General Acute Care Hospital
- Modesto, CA
- NPI 1184654923
Hospital
-
- Home Health Agency
- Pleasanton, CA
- NPI 1225280951
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- University of Southern California Keck School of Medicine, 1989
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Orangeburg Medical Group
Practice addresses (Care Compare)
1448 Florida Ave
Modesto, CA 95350-4424
Phone (209) 523-1884
Hospital & facility affiliations
- Careone Home Health and Hospice, Inc
- Lifeguard Home Health
- Memorial Medical Center
- Doctors Medical Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 14 |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158883200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1331251200000",
"number": "1609976562",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1448 FLORIDA AVE",
"city": "MODESTO",
"state": "CA",
"postal_code": "953504424",
"telephone_number": "209-523-1884",
"fax_number": "209-522-6002"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1448 FLORIDA AVE",
"city": "MODESTO",
"state": "CA",
"postal_code": "953504424",
"telephone_number": "209-523-1884",
"fax_number": "209-522-6002"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARI",
"first_name": "ALEX",
"middle_name": "E.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-22",
"last_updated": "2012-03-09",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CA",
"license": "G71950",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "GR002100",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Modesto, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2012; 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.