Individual provider Active NPI

David Mok, MD

  • Clinical Cardiac Electrophysiology Physician
  • Burbank, CA
National Provider Identifier
1619061157
Registry record updated Jun 29, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Cardiac Electrophysiology PhysicianTaxonomy code 207RC0001X
License
G83222 Issued in CA
Practice address
201 S Buena Vista St
Suite 100
Burbank, CA 91508
Phone
(818) 848-6404
Fax
(818) 848-7112
NPI assigned
Oct 2, 2006
Last updated
Jun 29, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X G83222 CA
Clinical Cardiac Electrophysiology Physician 207RC0001X G83222 CA Primary

Addresses

Primary practice location

201 S Buena Vista St
Suite 100
Burbank, CA 91508

Mailing address

3452 E Foothill Blvd
Suite 130
Pasadena, CA 91107-3142
Phone (626) 793-2885

Other identifiers 1

IdentifierTypeStateIssuer
00G832220MedicaidCA

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
I20100915001106 CA Practitioner - Cardiac ElectrophysiologyPractitioner - Cardiovascular Disease (Cardiology) 9234137977 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiac ElectrophysiologyAlso: Cardiovascular Disease (Cardiology)
Education
University of Maryland School of Medicine, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Providence Medical InstituteGroup PAC ID 5991609737, 303 clinicians
Providence Facey Medical FoundationGroup PAC ID 3173436276, shared by 2 NPIs, 324 clinicians

Practice addresses (Care Compare)

Laguna Niguel, CA 92677

19950 Rinaldi St
Porter Ranch, CA 91326-4141
Phone (818) 403-2400

201 S Buena Vista St
Suite 100
Burbank, CA 91505-4570
Phone (818) 848-6404

21501 Avalon Blvd
Suite 100
Carson, CA 90745-2210
Phone (310) 835-6627

3475 Torrance Blvd
Suite a
Torrance, CA 90503-5800
Phone (310) 370-3568

501 S Buena Vista St
Burbank, CA 91505-4809
Phone (818) 847-6049

503 S Buena Vista St
Suite 101
Burbank, CA 91505-4809
Phone (818) 869-7630

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Pacemaker insertion or repair37

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Providence Medical Institute CurrentSince Dec 1, 2015 Accepting new patients
Providence Medical Institute Current Accepting new patients
Providence Medical Institute CurrentSince Dec 1, 2015 Accepting new patients
Usc Verdugo Hills Hospital, LLC Past Accepting new patients
Providence Health System - Southern California Past Accepting new patients
Pasadena Hospital Association, LTD. Past Accepting new patients

Locations

201 S Buena Vista St
Ste 100
Burbank, CA 91505
Phone (818) 848-6404

501 S Buena Vista St
Burbank, CA 91505
Phone (818) 783-0800

21501 Avalon Blvd
Ste 100
Carson, CA 90745
Phone (310) 835-6627

1808 Verdugo Blvd
Ste 414
Glendale, CA 91208
Phone (818) 265-5400

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: dmok424211@oc.providencedirect.org

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1159747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1435536000000",
    "number": "1619061157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3452 E FOOTHILL BLVD",
            "address_2": "SUITE 130",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911073142",
            "telephone_number": "626-793-2885",
            "fax_number": "626-793-6262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 S BUENA VISTA ST",
            "address_2": "SUITE 100",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "91508",
            "telephone_number": "818-848-6404",
            "fax_number": "818-848-7112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOK",
        "first_name": "DAVID",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-02",
        "last_updated": "2015-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "CA",
            "license": "G83222",
            "primary": false
        },
        {
            "code": "207RC0001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
            "state": "CA",
            "license": "G83222",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G832220",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Burbank, CA

Sources for this page

Verify at the official NPI Registry.