Sidney Marshak, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

A29098 Issued in CA

Practice address

3484 E 1St St
Los Angeles, CA 90063-2946

Phone

(323) 268-4436

Fax

(323) 264-3049

NPI assigned

Nov 28, 2006

Last updated

Jul 8, 2007By 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Alta Los Angeles Hospital, Inc

  dba Los Angeles Hospital

  • Skilled Nursing Facility
  • Los Angeles, CA
  • NPI 1114132685
  NPD (past)

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

{
    "created_epoch": "1164672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1790851780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3484 E 1ST ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900632946",
            "telephone_number": "323-268-4436",
            "fax_number": "323-264-3049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3484 E 1ST ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900632946",
            "telephone_number": "323-268-4436",
            "fax_number": "323-264-3049"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARSHAK",
        "first_name": "SIDNEY",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A29098",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marsha Mouton DDS, Inc (La Tijera Dental Professionals)
• Marshak Medical Group Inc
• Marshak Medical Group, Inc
• Alissa Marshak, M.S., CCC-SLP
• Herbert Marshak, MD
• Marshal P Fichman MD a Professional Corp
• Marshall B. Ketchum University/University Eye Center at Los Angeles (Optometric Center of Los Angeles)
• Marshall Dental Group
• Marshall Jay Keyes M D a Medical Corporation
• Marshall L. Grode, M.D a Professional Corporation

• Family Medicine Physician in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.