Mark W Deseran, MD

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

G67376 Issued in CA

Practice address

3630 E. Imperial Hwy
Lynwood, CA 90262

Phone

(310) 900-2768

Fax

(310) 900-8852

NPI assigned

Jun 1, 2006

Last updated

Apr 15, 2011By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Diagnostic Radiology

Education

University of Southern California Keck School of Medicine, 1988

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Willits Hospital IncGroup PAC ID 7416940697, 67 clinicians

St. Helena HospitalGroup PAC ID 8729059878, 85 clinicians

Adventist Health Medical Center TehachapiGroup PAC ID 1456646629, 56 clinicians

Hanford Community HospitalGroup PAC ID 7416868377, 60 clinicians

Adventist Health DelanoGroup PAC ID 1254248016, 47 clinicians

Advanced Radiology and Interventional Associates IncGroup PAC ID 2163816448, 99 clinicians

Ukiah Adventist HospitalGroup PAC ID 6406816123, 136 clinicians

San Joaquin Community HospitalGroup PAC ID 1557390580, 72 clinicians

Seven Star Hospital Associates IncGroup PAC ID 4789083338, 129 clinicians

Reedley Community HospitalGroup PAC ID 0941460984, 60 clinicians

Adventist Health Mendocino CoastGroup PAC ID 3678990769, 57 clinicians

Rideout Memorial HospitalGroup PAC ID 9234036088, 88 clinicians

Adventist Health TulareGroup PAC ID 4385988757, 40 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Adventist Health Bakersfield Hospital, Bakersfield, CA, CCN 050455
• Adventist Health Ukiah Valley Hospital, Ukiah, CA, CCN 050301
• Adventist Health St Helena Hospital, Saint Helena, CA, CCN 050013
• Adventist Health Hanford Hospital, Hanford, CA, CCN 050121
• Adventist Health Howard Memorial Hospital, Willits, CA, CCN 051310

Merit-based Incentive Payment System (MIPS)

Final score

98.77 of 100Reported as group

Quality

80.67

Promoting interoperability

98

Improvement activities

40

Merit-based Incentive Payment System (MIPS)

Final score

81.35 of 100Reported as group

Quality

53.28

Promoting interoperability

98

Improvement activities

40

Cost

63.18

Merit-based Incentive Payment System (MIPS)

Final score

80.98 of 100Reported as group

Quality

73.31

Promoting interoperability

92

Improvement activities

40

Cost

62

Merit-based Incentive Payment System (MIPS)

Final score

88.16 of 100Reported as group

Quality

82.56

Promoting interoperability

93

Improvement activities

40

Cost

69.49

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100Reported as group

Quality

99.13

Improvement activities

40

Merit-based Incentive Payment System (MIPS)

Final score

91.08 of 100Reported as group

Quality

83.33

Improvement activities

40

Cost

76.35

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations (25 of 33)

Interoperability endpoints

• FHIR API: https://fhir-myrecord.cerner.com/r4/29a5ccea-f4ab-4447-a191-56b20695970f/
• FHIR API: https://fhir-myrecord.cerner.com/r4/a36dfa71-4dd3-4608-9cfb-c7a63ade5531/

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.

• Advanced Radiology and Interventional Associates Inc

  • Diagnostic Radiology Physician
  • Stockton, CA
  • NPI 1669123626
  Medicare reassignment Care Compare group NPD
• Adventist Health Delano

  dba Delano Regional Medical Center

  • Registered Dietitian
  • Delano, CA
  • NPI 1578798047
  Medicare reassignment Care Compare group NPD
• Adventist Health Medical Center Tehachapi

  dba Adventist Health Medical Center Tehachapi Valley

  • Critical Access Hospital
  • Tehachapi, CA
  • NPI 1275538530
  Medicare reassignment Care Compare group NPD
• Adventist Health Mendocino Coast

  dba Mendocino Coast District Hospital

  • Critical Access Hospital
  • Fort Bragg, CA
  • NPI 1538113725
  Medicare reassignment Care Compare group NPD
• Adventist Health Tulare

  dba Tulare Regional Medical Center

  • General Acute Care Hospital
  • Tulare, CA
  • NPI 1801366711
  Medicare reassignment Care Compare group NPD
• Hanford Community Hospital

  dba Adventist Health Hanford

  • General Acute Care Hospital
  • Hanford, CA
  • NPI 1538141627
  Medicare reassignment Care Compare group NPD
• Reedley Community Hospital

  dba Adventist Health Reedley

  • General Acute Care Hospital
  • Reedley, CA
  • NPI 1336167550
  Medicare reassignment Care Compare group NPD
• Rideout Memorial Hospital

  dba Adventist Health and Rideout

  • General Acute Care Hospital
  • Marysville, CA
  • NPI 1720088354
  Medicare reassignment Care Compare group NPD
• San Joaquin Community Hospital

  • General Acute Care Hospital
  • Bakersfield, CA
  • NPI 1538157508
  Medicare reassignment Care Compare group NPD
• Seven Star Hospital Associates Inc.

  dba Seven Star Radiology

  • Diagnostic Radiology Physician
  • Hemet, CA
  • NPI 1043813140
  Medicare reassignment Care Compare group NPD
• St. Helena Hospital

  dba Adventist Health St. Helena

  • General Acute Care Hospital
  • Saint Helena, CA
  • NPI 1720078082
  Medicare reassignment Care Compare group NPD
• Ukiah Adventist Hospital

  dba Adventist Health Ukiah Valley

  • General Acute Care Hospital
  • Ukiah, CA
  • NPI 1235120676

  Diagnostic Radiology

  Medicare reassignment Care Compare group NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Hanford Community Hospital

  dba Adventist Health Hanford

  • General Acute Care Hospital
  • Hanford, CA
  • NPI 1538141627
  Care Compare affiliation
• San Joaquin Community Hospital

  • General Acute Care Hospital
  • Bakersfield, CA
  • NPI 1538157508
  Care Compare affiliation
• St. Helena Hospital

  dba Adventist Health St. Helena

  • General Acute Care Hospital
  • Saint Helena, CA
  • NPI 1720078082
  Care Compare affiliation
• Ukiah Adventist Hospital

  dba Adventist Health Ukiah Valley

  • General Acute Care Hospital
  • Ukiah, CA
  • NPI 1235120676
  Care Compare affiliation
• Willits Hospital Inc.

  dba Adventist Health Howard Memorial

  • Critical Access Hospital
  • Willits, CA
  • NPI 1356339543
  Care Compare affiliation

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

{
    "created_epoch": "1149120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1302825600000",
    "number": "1730126467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3630 E. IMPERIAL HWY",
            "city": "LYNWOOD",
            "state": "CA",
            "postal_code": "90262",
            "telephone_number": "310-900-2768"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3630 E. IMPERIAL HWY",
            "city": "LYNWOOD",
            "state": "CA",
            "postal_code": "90262",
            "telephone_number": "310-900-2768",
            "fax_number": "310-900-8852"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DESERAN",
        "first_name": "MARK",
        "middle_name": "W",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-01",
        "last_updated": "2011-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "G67376",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G673760",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD OF CA",
            "identifier": "00G673760",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Janet Del Real
• Jason Douglas Delacuz
• Eneida Delgado
• Steve B Delgado
• Monica A Derbigny, MD
• Desert Trauma Surgeons, Inc.
• Jason H Deutsch, MD
• Kamakshi Devarajan, M.D.
• Manthan Dhingra
• Emily Marlene Diaz, PHARMD

• Diagnostic Radiology Physician in Lynwood, CA
• Providers in Lynwood, CA by specialty
• Diagnostic Radiology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2011; 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.

Verify at the official NPI Registry.