Individual provider Active NPI

Marylee Amerian, M.D.

  • Procedural Dermatology Physician
  • Santa Monica, CA
National Provider Identifier
1972597607
Registry record updated Jan 18, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Procedural Dermatology PhysicianTaxonomy code 207NS0135X
License
G54408 Issued in CA
Practice address
2336 Santa Monica Blvd
Suite 209
Santa Monica, CA 90404-2095
Phone
(310) 829-9396
Fax
(310) 829-3809
NPI assigned
Sep 8, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 18, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Procedural Dermatology Physician 207NS0135X G54408 CA Primary

Addresses

Primary practice location

2336 Santa Monica Blvd
Suite 209
Santa Monica, CA 90404-2095

Mailing address

2336 Santa Monica Blvd
Suite 209
Santa Monica, CA 90404-2095
Phone (310) 829-9396

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
I20120829000780 CA Practitioner - Dermatology 7517114374 Reassigns benefits to 1 organization
Practice locations: Santa Monica, CA

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
University of California, Geffen School of Medicine, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

2336 Santa Monica Blvd
Suite 209
Santa Monica, CA 90404-2067
Phone (310) 829-9396

Merit-based Incentive Payment System (MIPS)

Final score
89.17 of 100Reported as individual
Quality
78.33
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions1842
Removal or shaving of skin growth444
Skin biopsy153

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Mary Lee Amerian, MD a Medical Corp CurrentSince Apr 1, 1990 Accepting new patients

Locations

2336 Santa Monica Blvd
Ste 209
Santa Monica, CA 90404
Phone (310) 829-9289

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": "1126137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1295308800000",
    "number": "1972597607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2336 SANTA MONICA BLVD",
            "address_2": "SUITE 209",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904042095",
            "telephone_number": "310-829-9396",
            "fax_number": "310-829-3809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2336 SANTA MONICA BLVD",
            "address_2": "SUITE 209",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904042095",
            "telephone_number": "310-829-9396",
            "fax_number": "310-829-3809"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AMERIAN",
        "first_name": "MARYLEE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-09-08",
        "last_updated": "2011-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207NS0135X",
            "taxonomy_group": "",
            "desc": "Dermatology, Procedural Dermatology",
            "state": "CA",
            "license": "G54408",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Monica, CA

Sources for this page

Verify at the official NPI Registry.