DR. MARK NEEDHAM (NPI# 1578590659) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578590659 |
| Entity Type | Individual |
| Full Name | DR. MARK NEEDHAM |
| Credential | MD |
| Practice Address |
901 Wilshire Blvd Fl 3 Santa Monica CA 90401-1854 |
| Practice Telephone | 3103157900 |
| Practice Fax Number | 3108298903 |
| Mailing Telephone | 3108298903 |
| Enumeration Date | 2006-06-26 |
| Last Update Date | 2020-08-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | G48491 | CA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891242491 | Mark Needham | Social Worker | 1014 San Juan Ave, Exeter, CA 93221-1312 | 2016-09-01 |
| Street Address |
901 WILSHIRE BLVD FL 3 |
| City | SANTA MONICA |
| State | CA |
| Zip Code | 90401-1854 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184675761 | Shahira Ramji | Family Medicine | 901 Wilshire Blvd Fl 3, Santa Monica, CA 90401-1854 | 2006-05-16 |
| 1447334123 | Anita Gorwara | Family Medicine | 901 Wilshire Blvd Fl 3, Santa Monica, CA 90401-1854 | 2006-10-25 |
| 1558398339 | Eileen Mcgrath | Family Medicine | 901 Wilshire Blvd Fl 3, Santa Monica, CA 90401-1854 | 2006-06-27 |
| 1457396269 | Theodore J Hak | Family Medicine | 901 Wilshire Blvd Fl 3, Santa Monica, CA 90401-1854 | 2006-06-17 |
| 1144274911 | Richard L Ross | Family Medicine | 901 Wilshire Blvd Fl 3, Santa Monica, CA 90401-1854 | 2006-05-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013499458 | Franchesca Johnson Gordon | Marriage & Family Therapist | 900 Wilshire Blvd., Ste. 450, Santa Monica, CA 90401 | 2018-09-01 |
| 1629564083 | Michelle Jillian Dolinsky | Social Worker | 1243 7th St Ste C, Santa Monica, CA 90401 | 2018-07-09 |
| 1528507084 | Doctor Tlc, License Clinical Psychologist, Inc. | Community/Behavioral Health | 1242 Third St Promenade, Suite 208, Santa Monica, CA 90401 | 2017-02-16 |
| 1285006023 | Venessa Leeann Roca | Speech-Language Pathologist | 1218 6th Street, Santa Monica, CA 90401 | 2015-10-20 |
| 1720468036 | Stephen J. Kenneally | Marriage & Family Therapist | 610 Santa Monica Bvd, Ste. 201, Santa Monica, CA 90401 | 2015-06-02 |
| 1629458070 | Dominique L Robertson | Marriage & Family Therapist | 530 Wilshire, #310, Santa Monica, CA 90401 | 2015-06-01 |
| 1205252673 | Santa Monica Sports Medicine Inc. | Physical Medicine & Rehabilitation | 900 Wilshire Blvd. #410, Santa Monica, CA 90401 | 2014-03-10 |
| 1154675023 | Sherry Marie Martyn | Psychologist | 1242 3rd Street Promenade Ste 208, Santa Monica, CA 90401 | 2012-10-31 |
| 1700159829 | Gary Warburton | Dentist | 519 Arizona Ave., Santa Monica, CA 90401 | 2012-02-21 |
| 1265713036 | Aleksandr Mailyan | Reflexologist | 201 Wilshire Blvd #101, Santa Monica, CA 90401 | 2011-09-07 |
| Find all providers in zip 90401 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295271286 | Asal Askarinam | Family Medicine | 1260 15th St Ste 1501, Santa Monica, CA 90404-1150 | 2017-01-13 |
| 1316380769 | Juan Manuel Cabrales | Family Medicine | 1920 Colorado Ave Fl 2, Santa Monica, CA 90404-3414 | 2013-04-15 |
| 1730423229 | Lawrence M Rosen | Family Medicine | 305 Alta Ave, Santa Monica, CA 90402-2729 | 2012-11-21 |
| 1295029882 | Jenny Jie Bao | Family Medicine | 2001 Santa Monica Blvd Ste 370w, Santa Monica, CA 90404-2105 | 2011-06-01 |
| 1437391554 | Amy Gelfand | Family Medicine | 1027 Princeton St, Santa Monica, CA 90403-4701 | 2009-04-03 |
| 1740426352 | Adel E. Salawy | Family Medicine | 201 Ocean Ave, 1609-b, Santa Monica, CA 90402 | 2009-01-02 |
| 1205081916 | Gerald Klaz | Family Medicine | 50 Village Park Way, Santa Monica, CA 90405 | 2008-11-21 |
| 1942460605 | Diane Rhee Kim | Family Medicine | 1920 Colorado Blvd., Santa Monica, CA 90404 | 2008-06-16 |
| 1831301845 | Watson Medical Inc | Family Medicine | 3201 Wilshire Blvd Ste 211, Santa Monica, CA 90403-2337 | 2007-05-03 |
| 1619199791 | Stephanie Canale | Family Medicine | 2428 Santa Monica Blvd Ste 200, Santa Monica, CA 90404-2046 | 2007-05-02 |
| Find all providers in SANTA MONICA | ||||
| City | SANTA MONICA |
| Zip Code | 90401 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.