Individual provider Active NPI

Mark Savage Edwards, MD

  • Neurology Physician
  • Loma Linda, CA
National Provider Identifier
1790246189
Registry record updated Jul 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
182387 Issued in CA
Practice address
11370 Anderson St
Loma Linda, CA 92354
Phone
(909) 558-2880
NPI assigned
Mar 27, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 182387 CA Primary

Addresses

Primary practice location

11370 Anderson St
Loma Linda, CA 92354

Mailing address

11370 Anderson St Ste B100
Loma Linda, CA 92354-3450
Phone (909) 558-2880

Other practice location 1

101 The City Dr S Ste 40
Orange, CA 92868-3201
Phone (714) 456-5691

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, NM, OH, AZ, NV, MT, TN, TX8 enrollments
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 8

Enrollment IDStateProvider typePAC IDDetails
I20230920003604 CA Practitioner - Neurology 1355795691 Reassigns benefits to 2 organizations
I20241211002753 NM Practitioner - Neurology 1355795691 Reassigns benefits to 1 organization
I20241219003727 OH Practitioner - Neurology 1355795691 Reassigns benefits to 1 organization
I20250122003687 AZ Practitioner - Infectious Disease 1355795691 Reassigns benefits to 1 organization
I20250204001941 NV Practitioner - Psychiatry 1355795691 Reassigns benefits to 1 organization
I20250303000526 MT Practitioner - Neurology 1355795691 Reassigns benefits to 1 organization
I20250918002743 TN Practitioner - Neurology 1355795691 Reassigns benefits to 1 organization
I20260110000035 TX Practitioner - Neurology 1355795691 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
University of Rochester School of Medicine and Dentistry, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Access Telecare PLLCGroup PAC ID 7810204831, 409 clinicians
Access Telecare California PCGroup PAC ID 8325373525, 86 clinicians

Practice addresses (Care Compare)

San Antonio, TX 78255
Phone (972) 449-0540

Tucson, AZ 85718
Phone (972) 449-0540

Palos Verdes Estates, CA 90274
Phone (972) 449-0540

100 Municipal Dr
Gun Barrel City, TX 75156-3702
Phone (972) 449-0540

101 Civic Ctr LN
Lake Havasu City, AZ 86403-5607
Phone (972) 449-0540

10501 Golf Course Rd NW
Albuquerque, NM 87114-5019
Phone (972) 449-0540

10820 Parkside Dr
Knoxville, TN 37934-1956
Phone (972) 449-0540

117 E 19TH St
Roswell, NM 88201-5151
Phone (972) 449-0540

1501 Burnet Rd
Brownwood, TX 76801-8520
Phone (972) 449-0540

1601 W Saint Marys Rd
Tucson, AZ 85745-2623
Phone (972) 449-0540

188 Kitdare Dr
Delaware, OH 43015-7076
Phone (972) 449-0540

1900 Pine St
Abilene, TX 79601-2432
Phone (972) 449-0540

1900 S D St
McAllen, TX 78503-1507
Phone (972) 449-0540

2 Calle Final
Placitas, NM 87043-9214
Phone (972) 449-0540

2001 Scioto TRL
Portsmouth, OH 45662-2845
Phone (972) 449-0540

2305 Chambliss Ave NW
Cleveland, TN 37311-3847
Phone (972) 449-0540

2430 W Pierce St
Carlsbad, NM 88220-3553
Phone (972) 449-0540

2450 S Telshor Blvd
Las Cruces, NM 88011-5069
Phone (972) 449-0540

2951 Maple Ave
Zanesville, OH 43701-1406
Phone (972) 449-0540

3269 N Stockton Hill Rd
Kingman, AZ 86409-3619
Phone (972) 449-0540

3280 Joe Battle Blvd
El Paso, TX 79938-2622
Phone (972) 449-0540

405 W Country Club Rd
Roswell, NM 88201-5209
Phone (972) 449-0540

4311 E Lohman Ave
Las Cruces, NM 88011-8255
Phone (972) 449-0540

4701 Montgomery Blvd NE
Albuquerque, NM 87109-1219
Phone (972) 449-0540

500 N Highland Ave
Sherman, TX 75092-7354
Phone (972) 449-0540

Merit-based Incentive Payment System (MIPS)

Final score
88.87 of 100Reported as group
Quality
72.13
Promoting interoperability
80
Improvement activities
40
Cost
77.36

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
182387CAMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Faculty Physicians and Surgeons of Llusm Current Accepting new patients
Faculty Physicians and Surgeons of Llusm CurrentSince Jul 23, 2023 Accepting new patients
Faculty Physicians and Surgeons of Llusm Family Medicine CurrentSince Jul 23, 2023 Accepting new patients
Access Telecare, PLLC Family Medicine CurrentSince Nov 4, 2024 Accepting new patients
Faculty Physicians and Surgeons of Llusm Past Accepting new patients
Loma Linda University Medical Center Past Accepting new patients

Locations

1200 N Beaver St
Flagstaff, AZ 86001
Phone (928) 213-6235

3269 N Stockton Hill Rd
Kingman, AZ 86409
Phone (928) 757-0626

5700 E Highway 90
Sierra Vista, AZ 85635
Phone (520) 263-2000

11370 Anderson St
Loma Linda, CA 92354
Phone (909) 558-2481

11370 Anderson St
Ste B100
Loma Linda, CA 92354
Phone (909) 558-2848

11370 Anderson St
#B100
Loma Linda, CA 92354
Phone (909) 558-2848

File Number 54701
Los Angeles, CA 90074
Phone (909) 651-4300

28078 Baxter Rd
Murrieta, CA 92563
Phone (951) 290-4000

2020 Genesee Ave
San Diego, CA 92123
Phone (619) 268-9500

825 Delbon Ave
Turlock, CA 95382
Phone (209) 664-2744

1 Medical Park Blvd
Bristol, TN 37620
Phone (423) 390-0451

1717 Main St
Ste 5850
Dallas, TX 75201
Phone (469) 694-5512

20171 Chasewood Park Dr
Houston, TX 77070
Phone (713) 355-1000

2555 Jimmy Johnson Blvd
Port Arthur, TX 77640
Phone (409) 724-7389

Interoperability endpoints

  • Direct secure messaging: medwards211455@cityofhope.direct-ci.com

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": "1553644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689552000000",
    "number": "1790246189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11370 ANDERSON ST STE B100",
            "city": "LOMA LINDA",
            "state": "CA",
            "postal_code": "923543450",
            "telephone_number": "909-558-2880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11370 ANDERSON ST",
            "city": "LOMA LINDA",
            "state": "CA",
            "postal_code": "92354",
            "telephone_number": "909-558-2880"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "101 The City Dr S Ste 40",
            "address_purpose": "LOCATION",
            "city": "Orange",
            "state": "CA",
            "postal_code": "928683201",
            "country_code": "US",
            "telephone_number": "714-456-5691",
            "fax_number": "714-456-8874",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EDWARDS",
        "first_name": "MARK",
        "middle_name": "SAVAGE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-03-27",
        "last_updated": "2023-07-17",
        "certification_date": "2023-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "CA",
            "license": "182387",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Loma Linda, CA

Sources for this page

Verify at the official NPI Registry.