Individual provider Active NPI

Marc H Incerpi, M.D.

  • Maternal & Fetal Medicine Physician
  • Burbank, CA
National Provider Identifier
1891790705
Registry record updated Nov 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Maternal & Fetal Medicine PhysicianTaxonomy code 207VM0101X
License
G77155 Issued in CA
Practice address
191 S Buena Vista St Ste 435
Burbank, CA 91505-4551
Phone
(818) 845-5802
NPI assigned
Jun 16, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Maternal & Fetal Medicine Physician 207VM0101X G77155 CA Primary
Obstetrics Physician 207VX0000X G77155 CA

Addresses

Primary practice location

191 S Buena Vista St Ste 435
Burbank, CA 91505-4551

Mailing address

PO Box 31309
Los Angeles, CA 90031-0309
Phone (818) 845-5802

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address marc.incerpi@direct.usc.edu Direct USC CARE MEDICAL GROUP, INC

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
I20031117000495 CA Practitioner - Obstetrics/Gynecology 0143134981 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Loyola University of Chicago, Stritch School of Medicine, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Usc Care Medical Group IncGroup PAC ID 0446157747, 1,378 clinicians

Practice addresses (Care Compare)

1520 San Pablo St
Los Angeles, CA 90033-5310
Phone (800) 872-2273

1520 San Pablo St 1St Floor N
Los Angeles, CA 90033-5310
Phone (800) 872-2273

191 S Buena Vista St
Suite 435
Burbank, CA 91505-4551
Phone (818) 845-5802

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G77155CAMDObstetrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Usc Care Medical Group, Inc CurrentSince Apr 1, 2009 Accepting new patients
Usc Care Medical Group, Inc CurrentSince Apr 1, 2009 Accepting new patients
Usc University Hospital, Inc. Past Accepting new patients
Dignity Health Past Accepting new patients
Pih Health Good Samaritan Hospital Past Accepting new patients
Keck Medical Center of Usc Past Accepting new patients
Pasadena Hospital Association, LTD. Past Accepting new patients
Usc Obstetricians and Gynecologists, Inc. Maternal & Fetal Medicine Past Accepting new patients
Providence Health System - Southern California Past Accepting new patients
Cha Hollywood Medical Center, LP Past Accepting new patients
Glendale Adventist Medical Center Past Accepting new patients
Usc Verdugo Hills Hospital, LLC Past Accepting new patients

Locations

191 S Buena Vista St
Ste 435
Burbank, CA 91505
Phone (818) 845-5802

501 S Buena Vista St
Burbank, CA 91505
Phone (818) 783-0800

1808 Verdugo Blvd
Ste 412
Glendale, CA 91208

1808 Verdugo Blvd
Ste 208
Glendale, CA 91208
Phone (818) 952-5322

1808 Verdugo Blvd
Ste 413
Glendale, CA 91208
Phone (818) 658-5980

1640 Marengo St
Ste 505
Los Angeles, CA 90033

1300 N Vermont Ave
Ste 302
Los Angeles, CA 90027
Phone (323) 361-6070

1520 San Pablo St
Los Angeles, CA 90033
Phone (323) 442-5849

1500 San Pablo St
Los Angeles, CA 90033
Phone (323) 443-8500

1400 S Grand Ave
Ste 805
Los Angeles, CA 90015
Phone (213) 763-1500

1300 N Vermont Ave
Ste 301
Los Angeles, CA 90027
Phone (323) 361-6070

11550 Indian Hls
Ste 380
Mission Hills, CA 91345
Phone (818) 361-5069

55 S Lake Ave
Fl 9
Pasadena, CA 91101
Phone (818) 212-7541

39 Congress St
Ste 301
Pasadena, CA 91105
Phone (626) 486-0181

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 12

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": "1118880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1891790705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 31309",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900310309",
            "telephone_number": "818-845-5802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "191 S BUENA VISTA ST STE 435",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915054551",
            "telephone_number": "818-845-5802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "INCERPI",
        "first_name": "MARC",
        "middle_name": "H",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-16",
        "last_updated": "2023-11-27",
        "certification_date": "2020-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VM0101X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
            "state": "CA",
            "license": "G77155",
            "primary": true
        },
        {
            "code": "207VX0000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Obstetrics",
            "state": "CA",
            "license": "G77155",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "marc.incerpi@direct.usc.edu",
            "affiliation": "Y",
            "affiliationName": "USC CARE MEDICAL GROUP, INC",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "191 S Buena Vista St Ste 435",
            "city": "Burbank",
            "state": "CA",
            "country_code": "US",
            "postal_code": "915054551",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Burbank, CA

Sources for this page

Verify at the official NPI Registry.