Individual provider Active NPI

James Mar, DO

  • Internal Medicine Physician
  • Sierra Vista, AZ
National Provider Identifier
1982267449
Registry record updated Sep 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
009700 Issued in AZ
Practice address
5700 Az-90
Sierra Vista, AZ 85635
Phone
(520) 263-2000
NPI assigned
Apr 19, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 009700 AZ Primary

Addresses

Primary practice location

5700 Az-90
Sierra Vista, AZ 85635

Mailing address

4619 W Bryce LN
Glendale, AZ 85301-1626

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ, CA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20221006003112 AZ Practitioner - Internal Medicine 6204212707 Reassigns benefits to 1 organization
I20221124000030 CA Practitioner - Internal Medicine 6204212707 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Arizona College of Osteopathic Medicine Mid Western University, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Providence Healthcare Partners IncGroup PAC ID 2163723610, 26 clinicians

Practice addresses (Care Compare)

4445 Magnolia Ave
Riverside, CA 92501-4135
Phone (951) 788-3000

Hospital & facility affiliations

  • Riverside Community Hospital Hospital, Riverside, CA, CCN 050022
  • Parkview Community Hospital Medical Center Hospital, Riverside, CA, CCN 050102

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
009700AZMDInternal Medicine Physician
9700AZMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
American Physicians, Inc. CurrentSince Oct 15, 2022 Accepting new patients
Cogent Healthcare of Arizona PC Internal Medicine CurrentSince Jul 1, 2022 Accepting new patients
Inpatient Specialists of California, PC Internal Medicine CurrentSince Aug 15, 2023 Accepting new patients
Providence Healthcare Partners,, Inc CurrentSince Nov 1, 2022 Accepting new patients
American Physicians, Inc Internal Medicine CurrentSince Oct 15, 2022 Accepting new patients

Locations

9003 E Shea Blvd
Scottsdale, AZ 85260
Phone (480) 323-3383

5700 E Highway 90
Sierra Vista, AZ 85635
Phone (520) 263-2000

12223 Highland Ave
Ste 106526
Rancho Cucamonga, CA 91739
Phone (714) 676-3880

12223 Highland Ave
#106526
Rch Cucamonga, CA 91739

4445 Magnolia Ave
Riverside, CA 92501
Phone (800) 498-7156

3865 Jackson St
Riverside, CA 92503
Phone (909) 688-2211

2101 N Waterman Ave
Sn Bernrdno, CA 92404
Phone (909) 881-4305

1805 Medical Center Dr
Sn Bernrdno, CA 92411
Phone (909) 877-6333

Organizations & group practices 5

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1555632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662508800000",
    "number": "1982267449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4619 W BRYCE LN",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853011626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5700 AZ-90",
            "city": "SIERRA VISTA",
            "state": "AZ",
            "postal_code": "85635",
            "telephone_number": "520-263-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAR",
        "first_name": "JAMES",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-04-19",
        "last_updated": "2022-09-07",
        "certification_date": "2022-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AZ",
            "license": "009700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sierra Vista, AZ

Sources for this page

Verify at the official NPI Registry.