Individual provider Active NPI

Michael D. Marsh, M.D.

  • Internal Medicine Physician
  • Toluca Lake, CA
National Provider Identifier
1619992047
Registry record updated Dec 21, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A39430 Issued in CA
Practice address
4418 Vineland Ave Ste 102
Toluca Lake, CA 91602-3457
Phone
(818) 842-7145
Fax
(818) 842-8279
NPI assigned
Jul 13, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 21, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A39430 CA Primary

Addresses

Primary practice location

4418 Vineland Ave Ste 102
Toluca Lake, CA 91602-3457

Mailing address

4418 Vineland Ave Ste 102
Toluca Lake, CA 91602-3457
Phone (818) 842-7145

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
I20100308000447 CA Practitioner - Internal Medicine 5991606618 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Premiere Medical Center of Burbank, IncGroup PAC ID 4688709744, 5 clinicians

Practice addresses (Care Compare)

4418 Vineland Ave
Suite 102
Toluca Lake, CA 91602-3457
Phone (818) 842-7145

Hospital & facility affiliations

  • True Care Home Health Services, Inc Home health agency, Canoga Park, CA, CCN 059799
  • Preferred Choice Home Health Care, Inc Home health agency, Reseda, CA, CCN 559037
  • Providence Saint Joseph Medical Ctr Hospital, Burbank, CA, CCN 050235

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A39430CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Glendale Adventist Medical Center Past Accepting new patients
St Joseph Regional Health Network Past Accepting new patients
Valley Healthcare Med GRP Internal Medicine Past Accepting new patients
Dignity Health Past Accepting new patients
Providence Health System - Southern California Past Accepting new patients

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

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 and National Provider Directory roles.

Hospital & facility affiliations 3

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": "1152748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1545350400000",
    "number": "1619992047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4418 VINELAND AVE STE 102",
            "city": "TOLUCA LAKE",
            "state": "CA",
            "postal_code": "916023457",
            "telephone_number": "818-842-7145",
            "fax_number": "818-842-8202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4418 VINELAND AVE STE 102",
            "city": "TOLUCA LAKE",
            "state": "CA",
            "postal_code": "916023457",
            "telephone_number": "818-842-7145",
            "fax_number": "818-842-8279"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARSH",
        "first_name": "MICHAEL",
        "middle_name": "D.",
        "name_prefix": "Mr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-13",
        "last_updated": "2018-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A39430",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Toluca Lake, CA

Sources for this page

Verify at the official NPI Registry.