NPIMap

Individual provider Active NPI

Eli E Marmur, M.A., R.P.T.

  • Physical Therapist
  • Los Angeles, CA
National Provider Identifier
1720199664
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT5793 Issued in CA
Practice address
1125 S Beverly Dr
515
Los Angeles, CA 90035-1148
Phone
(310) 277-8882
Fax
(310) 277-8935
NPI assigned
Aug 31, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT5793 CA Primary

Addresses

Primary practice location

1125 S Beverly Dr
515
Los Angeles, CA 90035-1148

Mailing address

1125 S Beverly Dr
515
Los Angeles, CA 90035-1148
Phone (310) 277-8882

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120516000693 CA Practitioner - Physical Therapist in Private Practice 5991612657 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1971
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1125 S Beverly Dr
Suite 515
Los Angeles, CA 90035-1183
Phone (310) 277-8882

16311 Ventura Blvd
Suite 1280
Encino, CA 91436-4366
Phone (818) 986-1886

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
PT5793CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
E.M. Therapeutics, Inc. Physical Therapist CurrentSince Jun 8, 1985 Accepting new patients
Em Therapeutics, Inc. Physical Therapist CurrentSince Oct 19, 1994 Accepting new patients
PC Care, LLC PastSince May 1, 2001 Accepting new patients
Villa Rancho Bernardo Health Care LLC PastSince Feb 6, 2003 Accepting new patients
Sun Mar Healthcare, Inc PastSince Apr 6, 1987 Accepting new patients
Bartlett Care Center, LLC PastSince Mar 20, 1998 Accepting new patients
Community Care Rehab Center LLC PastSince Apr 30, 2003 Accepting new patients

Locations

16311 Ventura Blvd
Ste 1280
Encino, CA 91436
Phone (818) 782-2164

1125 S Beverly Dr
Ste 515
Los Angeles, CA 90035
Phone (310) 277-8882

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Ownership & related parties

All facility ownership & control disclosures 21

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Gordon Lane Care CenterFullerton, CA, CCN 555797 Skilled nursing facility 5% Or Greater Indirect Ownership Interest (33.33%) Mar 1, 2022
Paramount Convalescent HospitalParamount, CA, CCN 056446 Skilled nursing facility 5% Or Greater Indirect Ownership Interest (25.5%) Sep 8, 1988
Park Regency Care CenterLa Habra, CA, CCN 555536 Skilled nursing facility 5% Or Greater Direct Ownership Interest (33.33%) Jul 17, 2001
North Valley Nursing CenterTujunga, CA, CCN 055146 Skilled nursing facility 5% Or Greater Indirect Ownership Interest (33.75%) Mar 26, 1992
Mission Care CenterRiverside, CA, CCN 055542 Skilled nursing facility 5% Or Greater Direct Ownership Interest (20%) Jun 10, 2008
Victoria Care CenterBaldwin Park, CA, CCN 555107 Skilled nursing facility 5% Or Greater Indirect Ownership Interest (20%) Jun 10, 2008
Sierra View Care CenterBaldwin Park, CA, CCN 056466 Skilled nursing facility 5% Or Greater Indirect Ownership Interest (20%) Jun 10, 2008
Country Oaks Care CenterPomona, CA, CCN 055247 Skilled nursing facility Indirect Ownership Interest (20%) Jun 10, 2008
Pomona Vista Care CenterPomona, CA, CCN 055282 Skilled nursing facility 5% Or Greater Indirect Ownership Interest (20%) Jun 10, 2008
Villa Rancho Bernardo Care CenterSan Diego, CA, CCN 555318 Skilled nursing facility 5% Or Greater Indirect Ownership Interest (33.33%) Feb 6, 2003
Heritage ManorMonterey Park, CA, CCN 055989 Skilled nursing facility 5% Or Greater Indirect Ownership Interest (33.33%) Jan 24, 1995
Monterey Park Convalescent HospitalMonterey Park, CA, CCN 055162 Skilled nursing facility 5% Or Greater Indirect Ownership Interest (24%) Feb 7, 1992
French Park Care CenterSanta Ana, CA, CCN 555103 Skilled nursing facility 5% Or Greater Indirect Ownership Interest (31.66%) Sep 1, 1999
Community Care and Rehabilitation CenterRiverside, CA, CCN 055409 Skilled nursing facility 5% Or Greater Indirect Ownership Interest (25%) Aug 6, 2010
Pacific Post-AcuteSanta Monica, CA, CCN 555054 Skilled nursing facility 5% Or Greater Indirect Ownership Interest (33.33%) May 1, 2001
Del Mar Convalescent HospitalRosemead, CA, CCN 555081 Skilled nursing facility 5% Or Greater Indirect Ownership Interest (50%) Apr 1, 1977
Anaheim Healthcare CenterAnaheim, CA, CCN 055984 Skilled nursing facility Indirect Ownership Interest (33.33%) Feb 6, 2003
Private BankFontana, CA, CCN 055872 Skilled nursing facility 5% Or Greater Direct Ownership Interest (25%) Dec 24, 1990
Sun Mar Nursing CenterAnaheim, CA, CCN 555266 Skilled nursing facility 5% Or Greater Indirect Ownership Interest (50%) Apr 6, 1987
Sunset Manor Convalescent HospitalEl Monte, CA, CCN 055104 Skilled nursing facility 5% Or Greater Indirect Ownership Interest (50%) Apr 1, 1977
College Vista Post-AcuteLos Angeles, CA, CCN 555030 Skilled nursing facility 5% Or Greater Indirect Ownership Interest (20%) Jul 9, 2015

Owned or controlled facilities with NPI records 21

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

View all 21

Organizations & group practices 7

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1720199664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1125 S BEVERLY DR",
            "address_2": "515",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900351148",
            "telephone_number": "310-277-8882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1125 S BEVERLY DR",
            "address_2": "515",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900351148",
            "telephone_number": "310-277-8882",
            "fax_number": "310-277-8935"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARMUR",
        "first_name": "ELI",
        "middle_name": "E",
        "name_prefix": "Mr.",
        "credential": "M.A., R.P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT5793",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.