Active NPI
Mark Kevin Horowitz, DO
- Dermatology Physician
- Torrance, CA
National Provider Identifier
1669413878
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- 20A7642
- Practice address
- 23550 Hawthorne Blvd Ste 200
Torrance, CA 90505-4722 - Phone
- (310) 373-2636
- NPI assigned
- Jun 9, 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 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | 20A7642 | CA | Primary |
| MOHS-Micrographic Surgery Physician | 207ND0101X | 20A7642 | CA | |
| Dermatopathology Physician | 207ND0900X | 20A7642 | CA | |
| Clinical & Laboratory Dermatological Immunology Physician | 207NI0002X | 20A7642 | CA | |
| Pediatric Dermatology Physician | 207NP0225X | 20A7642 | CA | |
| Procedural Dermatology Physician | 207NS0135X | 20A7642 | CA |
Addresses
Primary practice location
23550 Hawthorne Blvd Ste 200
Torrance, CA 90505-4722
Mailing address
23550 Hawthorne Blvd.
#200
Torrance, CA 90505-4722
Phone (310) 534-9131
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 20A7642 | Other | CA | OSTEOPATHIC MEDICAL BOARD |
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 CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 85.17 of 100
- Quality
- 74.51
- Promoting interoperability
- 92
- Improvement activities
- 40
- Cost
- 82.72
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20A7642 | CA | MD | Clinical & Laboratory Dermatological Immunology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| J Robert West, M.D., Inc | Dermatology | Current | Accepting new patients |
| Paul J. Gethner, M.D., Inc. | Past | Accepting new patients |
Locations
400 Newport Center Dr
Ste 702
Newport Beach, CA 92660
Phone (949) 644-0101
23550 Hawthorne Blvd
Ste 200
Torrance, CA 90505
Phone (310) 373-2636
Organizations & group practices 2
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.
-
- Dermatology Physician
- Newport Beach, CA
- NPI 1932154788
-
- Clinical Medical Laboratory
- Torrance, CA
- NPI 1871824672
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149811200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1389916800000",
"number": "1669413878",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "23550 HAWTHORNE BLVD.",
"address_2": "#200",
"city": "TORRANCE",
"state": "CA",
"postal_code": "905054722",
"telephone_number": "310-534-9131",
"fax_number": "310-534-9132"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "23550 HAWTHORNE BLVD STE 200",
"city": "TORRANCE",
"state": "CA",
"postal_code": "905054722",
"telephone_number": "310-373-2636"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOROWITZ",
"first_name": "MARK",
"middle_name": "KEVIN",
"name_prefix": "Dr.",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-09",
"last_updated": "2014-01-17",
"status": "A"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "CA",
"license": "20A7642",
"primary": true
},
{
"code": "207ND0101X",
"taxonomy_group": "",
"desc": "Dermatology, MOHS-Micrographic Surgery",
"state": "CA",
"license": "20A7642",
"primary": false
},
{
"code": "207ND0900X",
"taxonomy_group": "",
"desc": "Dermatology, Dermatopathology",
"state": "CA",
"license": "20A7642",
"primary": false
},
{
"code": "207NI0002X",
"taxonomy_group": "",
"desc": "Dermatology, Clinical & Laboratory Dermatological Immunology",
"state": "CA",
"license": "20A7642",
"primary": false
},
{
"code": "207NP0225X",
"taxonomy_group": "",
"desc": "Dermatology, Pediatric Dermatology",
"state": "CA",
"license": "20A7642",
"primary": false
},
{
"code": "207NS0135X",
"taxonomy_group": "",
"desc": "Dermatology, Procedural Dermatology",
"state": "CA",
"license": "20A7642",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OSTEOPATHIC MEDICAL BOARD",
"identifier": "20A7642",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Torrance, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2014; 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.