Active NPI
Mark Nicholas Alshak
- Student in an Organized Health Care Education/Training Program
- Beverly Hills, CA
National Provider Identifier
1649864935
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- Practice address
- 1713 Angelo Dr
Beverly Hills, CA 90210-2721 - Phone
- (310) 720-6890
- NPI assigned
- Feb 26, 2021
- 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 |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Primary |
Addresses
Primary practice location
1713 Angelo Dr
Beverly Hills, CA 90210-2721
Mailing address
1713 Angelo Dr
Beverly Hills, CA 90210-2721
Phone (310) 720-6890
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | mna2005@med.cornell.edu |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1614297600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1614297600000",
"number": "1649864935",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1713 ANGELO DR",
"city": "BEVERLY HILLS",
"state": "CA",
"postal_code": "902102721",
"telephone_number": "310-720-6890"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1713 ANGELO DR",
"city": "BEVERLY HILLS",
"state": "CA",
"postal_code": "902102721",
"telephone_number": "310-720-6890"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALSHAK",
"first_name": "MARK",
"middle_name": "NICHOLAS",
"name_prefix": "Mr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-02-26",
"last_updated": "2021-02-26",
"certification_date": "2021-02-09",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "mna2005@med.cornell.edu",
"affiliation": "N",
"endpointDescription": "email",
"address_1": "1300 York Ave",
"city": "New York",
"state": "NY",
"country_code": "US",
"postal_code": "100654805",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Beverly Hills, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.