Individual provider Active NPI

Mark Howard Biscow, MD

  • Internal Medicine Physician
  • Santa Monica, CA
National Provider Identifier
1871510354
Registry record updated Jan 26, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
G049268 Issued in CA
Practice address
2121 Wilshire Blvd
#305
Santa Monica, CA 90403
Phone
(310) 264-0065
Fax
(310) 829-3424
NPI assigned
Jul 17, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X G049268 CA Primary

Addresses

Primary practice location

2121 Wilshire Blvd
#305
Santa Monica, CA 90403

Mailing address

2121 Wilshire Blvd
#304
Santa Monica, CA 90403
Phone (310) 264-0065

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
I20100524000517 CA Practitioner - Internal Medicine 0749231603 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
49268CAMDGeneral Practice Dentistry
G049268CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Westside Internal Medicine Internal Medicine CurrentSince Jul 1, 1985 Accepting new patients

Locations

2121 Wilshire Blvd
Ste 304
Santa Monica, CA 90403
Phone (310) 264-0065

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/IIBHAA

Organizations & group practices 1

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": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1264464000000",
    "number": "1871510354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2121 WILSHIRE BLVD",
            "address_2": "#304",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "90403",
            "telephone_number": "310-264-0065",
            "fax_number": "310-829-0765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2121 WILSHIRE BLVD",
            "address_2": "#305",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "90403",
            "telephone_number": "310-264-0065",
            "fax_number": "310-829-3424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BISCOW",
        "first_name": "MARK",
        "middle_name": "HOWARD",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-17",
        "last_updated": "2010-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "G049268",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Monica, CA

Sources for this page

Verify at the official NPI Registry.