Individual provider Active NPI

Marc Maskowitz, M.D.

  • Interventional Pain Medicine Physician
  • Sacramento, CA
National Provider Identifier
1750451258
Registry record updated Apr 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
License
A97386 Issued in CA
Practice address
1321 Howe Ave
Suite 225
Sacramento, CA 95825-3365
Phone
(916) 564-2225
Fax
(916) 564-5926
NPI assigned
Nov 9, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 30, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction Medicine (Anesthesiology) Physician 207LA0401X A97386 CA
Pain Medicine (Anesthesiology) Physician 207LP2900X A97386 CA
Interventional Pain Medicine Physician 208VP0014X A97386 CA Primary

Addresses

Primary practice location

1321 Howe Ave
Suite 225
Sacramento, CA 95825-3365

Mailing address

1321 Howe Ave
Suite 225
Sacramento, CA 95825-3365
Phone (916) 564-2225

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
I20070315000305 CA Practitioner - Interventional Pain ManagementPractitioner - AnesthesiologyPractitioner - Addiction Medicine 4082717863 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
97386CAMDSocial Worker
A97386CAMDInterventional Pain Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Marc Maskowitz MD, a Professional Corporation Interventional Pain Medicine CurrentSince Jun 1, 2007 Accepting new patients
Bruce P. Decarlo, MD, Inc. Past Accepting new patients

Locations

650 Howe Ave
Ste 810
Sacramento, CA 95825
Phone (916) 564-2225

1321 Howe Ave
Ste 225
Sacramento, CA 95825
Phone (916) 564-2225

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1163030400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588204800000",
    "number": "1750451258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1321 HOWE AVE",
            "address_2": "SUITE 225",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958253365",
            "telephone_number": "916-564-2225",
            "fax_number": "916-564-5926"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1321 HOWE AVE",
            "address_2": "SUITE 225",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958253365",
            "telephone_number": "916-564-2225",
            "fax_number": "916-564-5926"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASKOWITZ",
        "first_name": "MARC",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-09",
        "last_updated": "2020-04-30",
        "certification_date": "2020-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207LA0401X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Addiction Medicine",
            "state": "CA",
            "license": "A97386",
            "primary": false
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "CA",
            "license": "A97386",
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "CA",
            "license": "A97386",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sacramento, CA

Sources for this page

Verify at the official NPI Registry.