Individual provider Active NPI

Mark Scott Linam, DPM

  • Foot & Ankle Surgery Podiatrist
  • Norwalk, CA
National Provider Identifier
1811161771
Registry record updated Nov 30, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
E3500 Issued in CA
Practice address
12820 Studebaker Rd
Suite 200
Norwalk, CA 90650-2578
Phone
(562) 868-0787
Fax
(562) 375-6188
NPI assigned
Apr 22, 2008
Last updated
Nov 30, 2012By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 30, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X E3500 CA Primary

Addresses

Primary practice location

12820 Studebaker Rd
Suite 200
Norwalk, CA 90650-2578

Mailing address

PO Box 1204
Norwalk, CA 90651-1204
Phone (562) 868-0787

Other identifiers 1

IdentifierTypeStateIssuer
000E35000MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20090723000566 CA Practitioner - Podiatry 4486706348 Reassigns benefits to 1 organization
O20100930081996 CA DME Supplier - Physician - Podiatry 4183824758 1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Paramount, CA

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
California School of Podiatric Medicine, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

16660 Paramount Blvd
Suite 101
Paramount, CA 90723-5457
Phone (562) 633-0976

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue23
Removal of skin lesions1-10
Removal of nail tissue918
Removal or shaving of skin growth459

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
E3500CAMDFoot & Ankle Surgery Podiatrist
3500CAMDSpeech-Language Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Mark S Linam DPM a Professional Corp. Foot & Ankle Surgery CurrentSince Mar 3, 2010 Accepting new patients
Alta Newport Hospital, LLC Past Accepting new patients
Marina Podiatry Associates Inc PastSince Jun 15, 2014 Accepting new patients

Locations

12820 Studebaker Rd
Ste 200
Norwalk, CA 90650
Phone (562) 868-0787

16660 Paramount Blvd
Ste 101
Paramount, CA 90723
Phone (562) 633-0976

2477 Chestnut St
San Francisco, CA 94123
Phone (415) 731-1973

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1208822400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1354233600000",
    "number": "1811161771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1204",
            "city": "NORWALK",
            "state": "CA",
            "postal_code": "906511204",
            "telephone_number": "562-868-0787",
            "fax_number": "562-375-6188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12820 STUDEBAKER RD",
            "address_2": "SUITE 200",
            "city": "NORWALK",
            "state": "CA",
            "postal_code": "906502578",
            "telephone_number": "562-868-0787",
            "fax_number": "562-375-6188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LINAM",
        "first_name": "MARK",
        "middle_name": "SCOTT",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-04-22",
        "last_updated": "2012-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "CA",
            "license": "E3500",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000E35000",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Norwalk, CA

Sources for this page

Verify at the official NPI Registry.