Individual provider Active NPI

Nicholas P Marsico, M.D.

  • Specialist
  • Los Angeles, CA
National Provider Identifier
1992876155
Registry record updated Dec 14, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
A86442 Issued in CA
Practice address
420 E 3Rd St
Suite 603
Los Angeles, CA 90013-1644
Phone
(213) 680-1551
Fax
(213) 680-2148
NPI assigned
Nov 10, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X A86442 CA Primary

Addresses

Primary practice location

420 E 3Rd St
Suite 603
Los Angeles, CA 90013-1644

Mailing address

420 E 3Rd St
Suite 603
Los Angeles, CA 90013-1644
Phone (213) 680-1551

Other identifiers 6

IdentifierTypeStateIssuer
GR0078580MedicaidCA
GR0078583MedicaidCA
GR0078582MedicaidCA
00A864420MedicaidCA
1710057245OtherCAGROUP NPI
GR0078581MedicaidCA

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
I20040825001374 CA Practitioner - Ophthalmology 2264406081 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Ohio State University College of Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
East-West Eye Institute a Medical CorporationGroup PAC ID 0042297376, 16 clinicians

Practice addresses (Care Compare)

23441 Madison St
Suite 120
Torrance, CA 90505-4734
Phone (310) 373-6708

879 W 190TH St
Suite 100
Gardena, CA 90248-4223
Phone (310) 329-9975

Merit-based Incentive Payment System (MIPS)

Final score
84.43 of 100Reported as group
Quality
91.88
Promoting interoperability
76
Improvement activities
40
Cost
76.22

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery118

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
East-West Eye Institute a Medical Corporation Ophthalmology CurrentSince Jul 19, 2004 Accepting new patients
East-West Eye Institute a Medical Corporation CurrentSince Jul 19, 2004 Accepting new patients
East-West Eye Institute a Medical Corporation Ophthalmology Past Accepting new patients
Barlow Respiratory Hospital Past Accepting new patients
East-West Eye Institute a Medical Corporation Ophthalmology Past Accepting new patients

Locations

75 Enterprise
Ste 200
Aliso Viejo, CA 92656
Phone (949) 688-6205

9100 Wilshire Blvd
Ste 852W
Beverly Hills, CA 90212
Phone (310) 247-0348

475 W Badillo St
Covina, CA 91723
Phone (626) 331-2209

1300 W 155th St
Ste 104
Gardena, CA 90247
Phone (310) 329-9975

879 W 190th St
Ste 100
Gardena, CA 90248
Phone (310) 329-9115

1045 W Redondo Beach Blvd
Ste 400
Gardena, CA 90247
Phone (310) 219-7701

1950 Sawtelle Blvd
Ste 240
Los Angeles, CA 90025
Phone (310) 453-0489

420 E 3rd St
Ste 603
Los Angeles, CA 90013
Phone (213) 625-2694

50 Alessandro Pl
Ste 150
Pasadena, CA 91105
Phone (626) 577-5437

23441 Madison St
Ste 115
Torrance, CA 90505
Phone (424) 247-2206

23441 Madison St
Ste 120
Torrance, CA 90505
Phone (310) 370-3628

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • FHIR API: https://app.meldrx.com/api/fhir/amanpreet

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.

NPI Registry JSON

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

{
    "created_epoch": "1163116800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1197590400000",
    "number": "1992876155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 E 3RD ST",
            "address_2": "SUITE 603",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900131644",
            "telephone_number": "213-680-1551",
            "fax_number": "213-680-2148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 E 3RD ST",
            "address_2": "SUITE 603",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900131644",
            "telephone_number": "213-680-1551",
            "fax_number": "213-680-2148"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARSICO",
        "first_name": "NICHOLAS",
        "middle_name": "P",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-10",
        "last_updated": "2007-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "A86442",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0078580",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0078583",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0078582",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A864420",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NPI",
            "identifier": "1710057245",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0078581",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.