Active NPI
Mark Nelson Monroe, M.D.
- Family Medicine Physician
- Santa Ana, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- A39997
- Practice address
- 2414 S Fairview St
#112
Santa Ana, CA 92704-5318 - Phone
- (714) 641-0121
- Fax
- (714) 641-2054
- NPI assigned
- Apr 17, 2006
- Last updated
- Nov 3, 2011
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | A39997 | CA | Primary |
Addresses
Primary practice location
2414 S Fairview St
#112
Santa Ana, CA 92704-5318
Mailing address
2414 S Fairview St
#112
Santa Ana, CA 92704-5318
Phone (714) 641-0121
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750410007 | Other | NPI |
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
- Family Practice
- Education
- Other, 1980
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
2414 S Fairview St
Santa Ana, CA 92704-5345
Phone (714) 641-0121
Hospital & facility affiliations
- Livingstone Home Health Services, Inc
- Uci Health-Orange
- Memorialcare Orange Coast Medical Center
- Hoag Memorial Hospital Presbyterian
- Fountain Valley Post Acute
Merit-based Incentive Payment System (MIPS)
- Final score
- 23.61 of 100
- Quality
- 0
- Improvement activities
- 0
- Cost
- 78.7
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 1-10 |
| Removal of tissue | 1-10 |
| Removal of skin lesions | 98 |
| Removal of nail tissue | 35 |
| Removal or shaving of skin growth | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A39997 | CA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| South Coast Global Medical Center, Inc | Past | Accepting new patients |
Interoperability endpoints
- mmonroe@afmg.adaptamed.direct-ci.com
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Family Medicine Physician
- Santa Ana, CA
- NPI 1750410007
-
dba South Coast Global Medical Center
- General Acute Care Hospital
- Santa Ana, CA
- NPI 1558354258
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Fountain Valley Post Acute
- Skilled Nursing Facility
- Fountain Valley, CA
- NPI 1992407779
Nursing home
-
- General Acute Care Hospital
- Newport Beach, CA
- NPI 1518951300
-
- Home Health Agency
- Buena Park, CA
- NPI 1972611846
-
- General Acute Care Hospital
- Fountain Valley, CA
- NPI 1497702575
-
dba University of California Irvine - Cac Urgent Care
- Urgent Care Clinic/Center
- Irvine, CA
- NPI 1518739309
Hospital
-
dba Uci Health
- General Acute Care Hospital
- Orange, CA
- NPI 1689608150
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1145232000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1320278400000",
"number": "1740244532",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2414 S FAIRVIEW ST",
"address_2": "#112",
"city": "SANTA ANA",
"state": "CA",
"postal_code": "927045318",
"telephone_number": "714-641-0121",
"fax_number": "714-641-2054"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2414 S FAIRVIEW ST",
"address_2": "#112",
"city": "SANTA ANA",
"state": "CA",
"postal_code": "927045318",
"telephone_number": "714-641-0121",
"fax_number": "714-641-2054"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MONROE",
"first_name": "MARK",
"middle_name": "NELSON",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-04-17",
"last_updated": "2011-11-03",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CA",
"license": "A39997",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI",
"identifier": "1750410007",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Santa Ana, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 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.