Active NPI
Marc K Eckstein, M.D.
- Emergency Medicine Physician
- Los Angeles, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- G69852
- Practice address
- 1200 N State St
Suite 1011
Los Angeles, CA 90033-1029 - Phone
- (323) 226-6667
- NPI assigned
- Aug 12, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | T4513 | TX | |
| Emergency Medicine Physician | 207P00000X | ME153176 | FL | |
| Emergency Medicine Physician | 207P00000X | G69852 | CA | Primary |
Addresses
Primary practice location
1200 N State St
Suite 1011
Los Angeles, CA 90033-1029
Mailing address
155 N Lake Ave
Ste 800
Pasadena, CA 91101-1857
Phone (254) 835-3911
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00G698520 | Medicaid | CA |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040914001374 | CA | Practitioner - Emergency Medicine | 3274500640 | Reassigns benefits to 4 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- Icahn School of Medicine at Mount Sinai, 1989
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Team Physicians of California Medical Group Inc
Practice addresses (Care Compare)
215 W Janss Rd
Thousand Oaks, CA 91360-1847
Phone (805) 497-2727
Hospital & facility affiliations
- Los Robles Hospital & Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 69852 | CA | MD | Pediatric Pharmacist |
| G69852 | CA | MD | Emergency Medicine Physician |
| T4513 | TX | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Team Physicians of California Medical Group Inc | Emergency Medicine | Current | Accepting new patients |
| West Hills Emergency Medical Associates, Inc | Emergency Medicine | Current | Accepting new patients |
| Los Robles Emergency Physicians Medical Group | Emergency Medicine | Current | Accepting new patients |
| Usc Care Medical Group, Inc | Current | Accepting new patients | |
| Usc Care Medical Group, Inc | Current | Accepting new patients | |
| Usc Verdugo Hills Hospital, LLC | Past | Accepting new patients | |
| Centinela Freeman Emergency Medical Associates | Emergency Medicine | Past | Accepting new patients |
| Keck Medical Center of Usc | Past | Accepting new patients | |
| Usc University Hospital, Inc. | Past | Accepting new patients |
Locations
1520 San Pablo St
Los Angeles, CA 90033
Phone (323) 442-5849
1200 N State St
Ste 1011
Los Angeles, CA 90089
Phone (323) 226-6667
1300 N Vermont Ave
Los Angeles, CA 90027
Phone (213) 413-3000
215 W Janss Rd
Thousand Oaks, CA 91360
Phone (805) 379-5435
7300 Medical Ctr
West Hills, CA 91307
Phone (818) 612-8301
Organizations & group practices 9
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.
-
- Emergency Medicine Physician
- Delano, CA
- NPI 1447288345
CA, Emergency Medicine
-
- Emergency Medicine Physician
- Thousand Oaks, CA
- NPI 1417983552
CA, Emergency Medicine
-
- Emergency Medicine Physician
- West Hills, CA
- NPI 1275761249
CA, Emergency Medicine
-
- Durable Medical Equipment & Medical Supplies
- Pasadena, CA
- NPI 1427937390
-
- Emergency Medicine Physician
- Inglewood, CA
- NPI 1962539684
Emergency Medicine
-
- General Acute Care Hospital
- Los Angeles, CA
- NPI 1417554528
-
- Psychiatric Hospital Unit
- Los Angeles, CA
- NPI 1790718500
-
- General Acute Care Hospital
- Glendale, CA
- NPI 1265875207
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Thousand Oaks, CA
- NPI 1306890389
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155340800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1639612800000",
"number": "1922010867",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "155 N LAKE AVE",
"address_2": "STE 800",
"city": "PASADENA",
"state": "CA",
"postal_code": "911011857",
"telephone_number": "254-835-3911"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1200 N STATE ST",
"address_2": "SUITE 1011",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900331029",
"telephone_number": "323-226-6667"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ECKSTEIN",
"first_name": "MARC",
"middle_name": "K",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-12",
"last_updated": "2021-12-16",
"certification_date": "2021-12-16",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "TX",
"license": "T4513",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "FL",
"license": "ME153176",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "CA",
"license": "G69852",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00G698520",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
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 Dec 16, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.