Individual provider Active NPI

Mark Gerges

  • Physical Therapist
  • Hermosa Beach, CA
National Provider Identifier
1962370627
Registry record updated Oct 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
2615 Pacific Coast Hwy Ste 120
Hermosa Beach, CA 90254-2285
Phone
(310) 933-3690
NPI assigned
Oct 24, 2025
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X Primary

Addresses

Primary practice location

2615 Pacific Coast Hwy Ste 120
Hermosa Beach, CA 90254-2285

Mailing address

8652 Ed Bane Cir
Westminster, CA 92683-7704

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251107004331 CA Practitioner - Physical Therapist in Private Practice 0042700932 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2025
Medicare assignment
May accept Medicare assignment
Group practices
Davis and Derosa Physical Therapy IncGroup PAC ID 7113954264, 21 clinicians
Reischl Physical Therapy IncGroup PAC ID 6709825219, 11 clinicians

Practice addresses (Care Compare)

325 Main St
El Segundo, CA 90245-3814
Phone (310) 648-3167

3292 E Willow St
Signal Hill, CA 90755-2309
Phone (562) 427-2225

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Navy Physical Therapy P.C. Physical Therapist CurrentSince Jan 6, 2026 Accepting new patients
Reischl Physical Therapy, Inc. Physical Therapist CurrentSince Jan 6, 2026 Accepting new patients
Manhattan Beach Pacific Physical Therapy Inc Physical Therapist CurrentSince Oct 28, 2025 Accepting new patients
Davis and Derosa Physical Therapy, Inc Physical Therapist CurrentSince Oct 28, 2025 Accepting new patients

Locations

325 Main St
El Segundo, CA 90245
Phone (310) 648-3167

327 Main St
El Segundo, CA 90245
Phone (310) 322-9700

2615 Pacific Coast Hwy
Ste 120
Hermosa Beach, CA 90254
Phone (310) 933-3690

2615 Pacific Coast Hwy
Ste 125
Hermosa Beach, CA 90254
Phone (310) 798-6310

16247 Colorado Ave
Paramount, CA 90723
Phone (562) 232-4005

3292 E Willow St
Signal Hill, CA 90755
Phone (562) 427-2225

1881 W Traverse Pkwy
Ste E
Lehi, UT 84048
Phone (801) 900-3174

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1761264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761264000000",
    "number": "1962370627",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8652 ED BANE CIR",
            "city": "WESTMINSTER",
            "state": "CA",
            "postal_code": "926837704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2615 PACIFIC COAST HWY STE 120",
            "city": "HERMOSA BEACH",
            "state": "CA",
            "postal_code": "902542285",
            "telephone_number": "310-933-3690"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GERGES",
        "first_name": "MARK",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-10-24",
        "last_updated": "2025-10-24",
        "certification_date": "2025-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hermosa Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.