Individual provider Active NPI

Alva A Marsh, MD

  • Internal Medicine Physician
  • Lynwood, CA
National Provider Identifier
1619036621
Registry record updated Oct 10, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
C22547 Issued in CA
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

Updated by the provider on Oct 10, 2007

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
00C225470MedicaidCA

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170127002374 CA Practitioner - Internal Medicine 3173805488 Reassigns benefits to 2 organizations

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. Home health agency, Van Nuys, CA, CCN 757485

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
C22547CAMDHematology & Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mona Lisa Medical Group, Inc CurrentSince Apr 15, 2022 Accepting new patients
Valley Oasis Medical Noho Inc CurrentSince Dec 2, 2025 Accepting new patients
Nexus Medical Group, Inc PastSince Apr 15, 2022 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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.