Active NPI
Monro Mark Hoffer, M.D.
- Pediatric Orthopaedic Surgery Physician
- Los Angeles, CA
National Provider Identifier
1902974363
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Orthopaedic Surgery Physician
- License
- G10463
- Practice address
- 2400 S Flower St
Ohmg
Los Angeles, CA 90007-2629 - Phone
- (213) 742-6527
- Fax
- (213) 742-1583
- NPI assigned
- Dec 1, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Orthopaedic Surgery Physician | 207XP3100X | G10463 | CA | Primary |
Addresses
Primary practice location
2400 S Flower St
Ohmg
Los Angeles, CA 90007-2629
Mailing address
2400 S Flower St
Ohmg
Los Angeles, CA 90007-2629
Phone (213) 742-6527
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00G104630 | Medicaid | CA |
Other names 1
- M. Mark Hoffer
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G10463 | CA | MD | Pediatric Orthopaedic Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164931200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1902974363",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2400 S FLOWER ST",
"address_2": "OHMG",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900072629",
"telephone_number": "213-742-6527",
"fax_number": "213-742-1583"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2400 S FLOWER ST",
"address_2": "OHMG",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900072629",
"telephone_number": "213-742-6527",
"fax_number": "213-742-1583"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOFFER",
"first_name": "MONRO",
"middle_name": "MARK",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-12-01",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "207XP3100X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Pediatric Orthopaedic Surgery",
"state": "CA",
"license": "G10463",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00G104630",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "M.",
"last_name": "HOFFER",
"middle_name": "MARK",
"credential": "M.D.",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.