Individual provider Active NPI

Mark Nelson Monroe, M.D.

  • Family Medicine Physician
  • Santa Ana, CA
National Provider Identifier
1740244532
Registry record updated Nov 3, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A39997 Issued in CA
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, 2011By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 3, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1750410007OtherNPI

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120301000506 CA Practitioner - Family PracticePractitioner - General Practice 0446419931 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: General 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

Merit-based Incentive Payment System (MIPS)

Final score
23.61 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
78.7

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of tissue1-10
Removal of skin lesions98
Removal of nail tissue35
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A39997CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
South Coast Global Medical Center, Inc Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: 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.

Hospital & facility affiliations 6

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

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

Verify at the official NPI Registry.