Active NPI
Alva A Marsh, MD
- Internal Medicine Physician
- Lynwood, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- C22547
- Practice address
- 3591 E Imperial Hwy
Ste 1
Lynwood, CA 90262 - Phone
- (310) 631-2838
- Fax
- (310) 632-4701
- NPI assigned
- Dec 6, 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | C22547 | CA | Primary |
| Hematology (Internal Medicine) Physician | 207RH0000X | C22547 | CA | |
| Hematology & Oncology Physician | 207RH0003X | C22547 | CA |
Addresses
Primary practice location
3591 E Imperial Hwy
Ste 1
Lynwood, CA 90262
Mailing address
3591 E Imperial Hwy
Ste 1
Lynwood, CA 90262
Phone (310) 631-2838
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00C225470 | 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
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Meharry Medical College School of Medicine, 1959
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
23928 Lyons Ave
Suite 101
Newhall, CA 91321-2452
Phone (747) 221-3443
6819 Sepulveda Blvd
Suite 101
Van Nuys, CA 91405-4464
Phone (747) 363-8530
Hospital & facility affiliations
- Ben Health Home Health Care, Inc.
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C22547 | CA | MD | Hematology & Oncology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mona Lisa Medical Group, Inc | Current | Accepting new patients | |
| Valley Oasis Medical Noho Inc | Current | Accepting new patients | |
| Nexus Medical Group, Inc | Past | Accepting new patients | |
| JMK Community Health Center | Past | Accepting new patients |
Locations
14856 Vanowen St
Van Nuys, CA 91405
Phone (818) 616-9575
6819 Sepulveda Blvd
Ste 101
Van Nuys, CA 91405
Phone (747) 363-8530
6819 Sepulveda Blvd
Ste 1
Van Nuys, CA 91405
Phone (747) 363-8530
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
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 and National Provider Directory roles.
-
- Geriatric Medicine (Family Medicine) Physician
- Van Nuys, CA
- NPI 1659255164
-
- Internal Medicine Physician
- Newhall, CA
- NPI 1285582429
-
- Primary Care Clinic/Center
- Van Nuys, CA
- NPI 1447909106
-
- Family Nurse Practitioner
- Compton, CA
- NPI 1427471846
-
- Family Medicine Physician
- Van Nuys, CA
- NPI 1700360088
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Van Nuys, CA
- NPI 1861162109
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165363200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1191974400000",
"number": "1619036621",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3591 E IMPERIAL HWY",
"address_2": "STE 1",
"city": "LYNWOOD",
"state": "CA",
"postal_code": "90262",
"telephone_number": "310-631-2838",
"fax_number": "310-632-4701"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3591 E IMPERIAL HWY",
"address_2": "STE 1",
"city": "LYNWOOD",
"state": "CA",
"postal_code": "90262",
"telephone_number": "310-631-2838",
"fax_number": "310-632-4701"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARSH",
"first_name": "ALVA",
"middle_name": "A",
"name_prefix": "Mr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-06",
"last_updated": "2007-10-10",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CA",
"license": "C22547",
"primary": true
},
{
"code": "207RH0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Hematology",
"state": "CA",
"license": "C22547",
"primary": false
},
{
"code": "207RH0003X",
"taxonomy_group": "",
"desc": "Internal Medicine, Hematology & Oncology",
"state": "CA",
"license": "C22547",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00C225470",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lynwood, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2007; 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.