Active NPI
Michael J Marcus, DPM
- Podiatrist
- Montebello, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- E1928
- Practice address
- 101 E Beverly Blvd
Suite 205
Montebello, CA 90640-4315 - Phone
- (323) 724-6663
- Fax
- (323) 724-5816
- NPI assigned
- Dec 19, 2005
- Last updated
- Apr 5, 2017
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Podiatrist | 213E00000X | E1928 | CA | Primary |
Addresses
Primary practice location
101 E Beverly Blvd
Suite 205
Montebello, CA 90640-4315
Mailing address
101 E Beverly Blvd
Ste 205
Montebello, CA 90640-4315
Phone (323) 724-6663
Other names 1
- A Professional Corporation
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: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- Temple University School of Podiatric Medicine, 1975
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
12215 Telegraph Rd
Suite 112
Santa Fe Springs, CA 90670-3344
Phone (562) 548-2230
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 1-10 |
| Removal of tissue | 222 |
| Removal of nail tissue | 251 |
| Removal or shaving of skin growth | 79 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kevin J. Pelton MD, Inc. | Orthopaedic Surgery | Current | Accepting new patients |
| Kevin J Pelton MD Inc | Orthopaedic Surgery | Current | Accepting new patients |
| Coast Plaza Doctors Hospital | Past | Accepting new patients | |
| Kevin J. Pelton MD, Inc. | Orthopaedic Surgery | Past | Accepting new patients |
Locations
1700 E Cesar E Chavez Ave
Ste 2200
Los Angeles, CA 90033
Phone (323) 264-7600
101 E Beverly Blvd
Ste 205
Montebello, CA 90640
Phone (323) 724-6663
12215 Telegraph Rd
Ste 112
Santa Fe Springs, CA 90670
Phone (562) 548-2230
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Organizations & group practices 5
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.
-
- Orthopaedic Surgery Physician
- Los Angeles, CA
- NPI 1679771703
-
- Podiatrist
- Irvine, CA
- NPI 1598996134
-
dba Los Angeles Orthopaedic Surgery Specialists
- Durable Medical Equipment & Medical Supplies
- Glendale, CA
- NPI 1710764576
Orthopaedic Surgery
-
dba Coast Plaza Hospital
- General Acute Care Hospital
- Norwalk, CA
- NPI 1669429221
-
dba Los Angeles Orthopaedic Surgery Specialists
- Durable Medical Equipment & Medical Supplies
- Santa Fe Springs, CA
- NPI 1821711870
Orthopaedic Surgery
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- South El Monte, CA
- NPI 1346232881
-
- Home Health Agency
- Mission Hills, CA
- NPI 1467734830
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1134950400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1491350400000",
"number": "1720064165",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "101 E BEVERLY BLVD",
"address_2": "STE 205",
"city": "MONTEBELLO",
"state": "CA",
"postal_code": "906404315",
"telephone_number": "323-724-6663",
"fax_number": "323-724-5816"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 E BEVERLY BLVD",
"address_2": "SUITE 205",
"city": "MONTEBELLO",
"state": "CA",
"postal_code": "906404315",
"telephone_number": "323-724-6663",
"fax_number": "323-724-5816"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARCUS",
"first_name": "MICHAEL",
"middle_name": "J",
"credential": "DPM",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-12-19",
"last_updated": "2017-04-05",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "CA",
"license": "E1928",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "A",
"last_name": "CORPORATION",
"middle_name": "PROFESSIONAL",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Montebello, CA
- Emmanuel Manalo, PT
- Prabhat S Manchanda, MD
- Benjamin Mandel, M.D
- Marc 1 Drugs Inc (Diabetes Specialty Pharmacy)
- Marc 1 Drugs Inc (Payless Pharmacy VII)
- Maria Cristina Zamora Montebello Optometry
- Maria Esther Salado, O.D., Inc. (True Vision Optometry)
- Catherine Ramos Marin, NURSE PRACTITIONER
- Nicole Marin
- Miguel Mariona
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2017; 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.