Mark R Needham (NPI# 1578590659, PAC ID# 7719870633) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1578590659 |
| PAC ID by PECOS | 7719870633 |
| Professional Enrollment ID | I20071227000503 |
| Full Name | Mark R Needham |
| Organization Legal Name | PROVIDENCE SAINT JOHNS MEDICAL FOUNDATION |
| Address |
901 Wilshire Blvd Fl 3 Santa Monica CA 90401-1854 |
| Phone Number | 3108298903 |
| Gender | M |
| Medical School | CASE WESTERN RESERVE UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1981 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 0840548624 |
| Number of Group Practice Members | 198 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 050290 | PROVIDENCE SAINT JOHN'S HEALTH CENTER |
| Address | Phone | Organization |
|---|---|---|
| 901 Wilshire Blvd, Fl 3, Santa Monica, CA 90401-1854 | 3108298903 | PROVIDENCE SAINT JOHNS MEDICAL FOUNDATION |
| Organization Legal Name | PROVIDENCE SAINT JOHNS MEDICAL FOUNDATION |
| Physicians | 200 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Teresa Chialin Liu | Internal Medicine | Providence Saint Johns Medical Foundation | 12121 Santa Monica Blvd, Los Angeles, CA 90025-2515 |
| Asad Julian Bedran | Family Medicine | Providence Saint Johns Medical Foundation | 8570 W Sunset Blvd, West Hollywood, CA 90069-2359 |
| Matthew K Nienaber | Internal Medicine | Providence Saint Johns Medical Foundation | 1821 Wilshire Blvd, Suite 100, Santa Monica, CA 90403-5627 |
| Jennifer P Carleton-nathan | Family Medicine | Providence Saint Johns Medical Foundation | 700 S Flower St, Suite 2340, Los Angeles, CA 90017-4123 |
| Meghan Moore | Physician Assistant | Providence Saint Johns Medical Foundation | 525 Broadway, Suite 1101, Santa Monica, CA 90401-2971 |
| Michelle Grotz-rhone | Internal Medicine | Providence Saint Johns Medical Foundation | 9725 Wilshire Blvd, Beverly Hills, CA 90212-2002 |
| Mina Kang | Internal Medicine | Providence Saint Johns Medical Foundation | 2121 Santa Monica Blvd, Santa Monica, CA 90404-2303 |
| Carol Nishikubo | Hematology/oncology | Providence Saint Johns Medical Foundation | 12555 W Jefferson Blvd, Los Angeles, CA 90066-7032 |
| Howard Ronald Krauss | Ophthalmology | Providence Saint Johns Medical Foundation | 2125 Arizona Ave, Santa Monica, CA 90404-1337 |
| Richard L Ross | Family Medicine | Providence Saint Johns Medical Foundation | 901 Wilshire Blvd, Fl 3, Santa Monica, CA 90401-1854 |
| Street Address |
901 WILSHIRE BLVD FL 3 |
| City | SANTA MONICA |
| State | CA |
| Zip | 90401-1854 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Richard L Ross | Family Medicine | Providence Saint Johns Medical Foundation | 901 Wilshire Blvd, Fl 3, Santa Monica, CA 90401-1854 |
| Shahira Ramji | Family Medicine | Providence Saint Johns Medical Foundation | 901 Wilshire Blvd, Fl 3, Santa Monica, CA 90401-1854 |
| David M Cutler | Family Medicine | Providence Saint Johns Medical Foundation | 901 Wilshire Blvd, Fl 1, Santa Monica, CA 90401-1854 |
| Richard H Greenspun | Internal Medicine | Providence Saint Johns Medical Foundation | 901 Wilshire Blvd, Fl 1, Santa Monica, CA 90401-1854 |
| George E Labrot | Pulmonary Disease | Providence Saint Johns Medical Foundation | 901 Wilshire Blvd, Fl 2, Santa Monica, CA 90401-1854 |
| Anita M Gorwara | Family Medicine | Providence Saint Johns Medical Foundation | 901 Wilshire Blvd, Fl 3, Santa Monica, CA 90401-1854 |
| Theodore J Hak | Family Medicine | Providence Saint Johns Medical Foundation | 901 Wilshire Blvd, Fl 3, Santa Monica, CA 90401-1854 |
| Janice K Miyakawa | Family Medicine | Providence Saint Johns Medical Foundation | 901 Wilshire Blvd, Fl 2, Santa Monica, CA 90401-1854 |
| Velinda J Paranal | Family Medicine | Providence Saint Johns Medical Foundation | 901 Wilshire Blvd, Fl 1, Santa Monica, CA 90401-1854 |
| Eileen M Mcgrath | Family Medicine | Providence Saint Johns Medical Foundation | 901 Wilshire Blvd, Fl 3, Santa Monica, CA 90401-1854 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kasey L Drapeau D Amato | Physician Assistant | Lauren L Reager A California Medical Corporation | 2001 Santa Monica Blvd, 990w, Santa Monica, CA 90401-0001 |
| Lisa M Masterson | Obstetrics/gynecology | 1333 Ocean Ave, Santa Monica, CA 90401-1023 | |
| Kyle J Mccurdy | Clinical Social Worker | Step Up On Second Street, Inc. | 1328 2nd St, Santa Monica, CA 90401-1122 |
| Dana L Harris | Psychiatry | Step Up On Second Street, Inc. | 1328 2nd St, Santa Monica, CA 90401-1122 |
| Sanaz Parsa | Psychiatry | Step Up On Second Street, Inc. | 1328 2nd St, Santa Monica, CA 90401-1122 |
| Clifford Roberts | Clinical Social Worker | Step Up On Second Street, Inc. | 1328 2nd St, Santa Monica, CA 90401-1122 |
| Jarrad Malamed | Clinical Social Worker | Step Up On Second Street, Inc. | 1328 2nd St, Santa Monica, CA 90401-1122 |
| Igor V Hunkoff | Psychiatry | Step Up On Second Street, Inc. | 1328 2nd St, Santa Monica, CA 90401-1122 |
| Janet Medenwald | Psychiatry | Step Up On Second Street, Inc. | 1328 2nd St, Santa Monica, CA 90401-1122 |
| John A Jimenez | Psychiatry | Step Up On Second Street, Inc. | 1328 2nd St, Santa Monica, CA 90401-1122 |
| Find all physicians in zip 90401 | |||
| City | SANTA MONICA |
| Zip Code | 90401 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | SANTA MONICA + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Mark R Needham.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.