Active NPI
Nicholas P Marsico, M.D.
- Specialist
- Los Angeles, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- A86442
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| GR0078580 | Medicaid | CA | |
| GR0078583 | Medicaid | CA | |
| GR0078582 | Medicaid | CA | |
| 00A864420 | Medicaid | CA | |
| 1710057245 | Other | CA | GROUP NPI |
| GR0078581 | 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
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
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 100
- Quality
- 91.88
- Promoting interoperability
- 76
- Improvement activities
- 40
- Cost
- 76.22
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 118 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| East-West Eye Institute a Medical Corporation | Ophthalmology | Current | Accepting new patients |
| East-West Eye Institute a Medical Corporation | Current | 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
- 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.
-
- Ophthalmology Physician
- Torrance, CA
- NPI 1285810994
-
- Durable Medical Equipment & Medical Supplies
- Los Angeles, CA
- NPI 1730365446
-
- General Acute Care Hospital
- Los Angeles, CA
- NPI 1851368369
-
- Ophthalmology Physician
- Gardena, CA
- NPI 1083890701
-
- Ophthalmology Physician
- Los Angeles, CA
- NPI 1710057245
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2007; 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.