Active NPI
Mark Gellman, DO
- Emergency Medicine Physician
- Torrance, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 20A8207
- Practice address
- 22411 Hawthorne Blvd
Torrance, CA 90505-2507 - Phone
- (310) 784-3740
- Fax
- (310) 375-1392
- NPI assigned
- Jul 21, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 20A8207 | CA | Primary |
Addresses
Primary practice location
22411 Hawthorne Blvd
Torrance, CA 90505-2507
Mailing address
1223 Wilshire Blvd # 193
Santa Monica, CA 90403-5406
Phone (310) 947-1882
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 Compare- Specialty
- Emergency Medicine
- Education
- Other, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2110 E El Segundo Blvd
El Segundo, CA 90245-4502
514 N Prospect Ave
FL 4
Redondo Beach, CA 90277-3040
Phone (310) 750-3300
855 Manhattan Beach Blvd
Suite 101
Manhattan Beach, CA 90266-4975
Phone (310) 939-7873
Hospital & facility affiliations
- Torrance Memorial Medical Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 1-10 |
| Removal of skin lesions | 1-10 |
| Removal of nail tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy, Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8207 | CA | MD | Marriage & Family Therapist |
| 20A8207 | CA | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Providence Medical Institute | Emergency Medicine | Current | Accepting new patients |
| Providence Medical Institute | Emergency Medicine | Current | Accepting new patients |
| Chase Dennis Emergency Medical Group Inc | Emergency Medicine | Past | Accepting new patients |
Organizations & group practices 4
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.
-
- Family Medicine Physician
- Torrance, CA
- NPI 1083903124
-
- Family Medicine Physician
- Torrance, CA
- NPI 1417915760
Emergency Medicine
-
- Family Medicine Physician
- Torrance, CA
- NPI 1235182569
Emergency Medicine
-
- Emergency Medicine Physician
- Santa Rosa, CA
- NPI 1033152350
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Torrance, CA
- NPI 1467459776
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153440000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1423094400000",
"number": "1669493375",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1223 WILSHIRE BLVD # 193",
"city": "SANTA MONICA",
"state": "CA",
"postal_code": "904035406",
"telephone_number": "310-947-1882"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "22411 HAWTHORNE BLVD",
"city": "TORRANCE",
"state": "CA",
"postal_code": "905052507",
"telephone_number": "310-784-3740",
"fax_number": "310-375-1392"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GELLMAN",
"first_name": "MARK",
"name_prefix": "Dr.",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-21",
"last_updated": "2015-02-05",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "CA",
"license": "20A8207",
"primary": true
}
],
"identifiers": [],
"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 Feb 5, 2015; 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.