MARK VAISMAN MD NPI 1891976189

NPI Information

NPI: 1891976189
Provider Name: MARK VAISMAN, MD
Classification: General Practice - 208D00000X
Entity Type: Individual

PECOS Registration: Yes

Address:
12660 RIVERSIDE DR
STE 310
NORTH HOLLYWOOD, CA
ZIP 91607
Phone: (818) 755-0391
Get Directions

Mark Vaisman, MD is a general practice in North Hollywood, CA. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee Mark Vaisman, MD NPI is 1891976189. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

12660 RIVERSIDE DR
STE 310
NORTH HOLLYWOOD, CA
ZIP 91607-429
Phone: (818) 755-0391
Fax: (818) 753-8165

The NPI 1891976189 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 11/15/2007 and was last updated on 2/8/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207Q00000X	Family Medicine		A38899	CALIFORNIA	No
2	207QG0300X	Family Medicine	Geriatric Medicine	A38899	CALIFORNIA	No
3	2085R0202X	Radiology	Diagnostic Radiology	A38899	CALIFORNIA	No
4	2085U0001X	Radiology	Diagnostic Ultrasound	A38899	CALIFORNIA	No
5	208D00000X	General Practice		A38899	CALIFORNIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	A38899	MEDICARE PIN	CALIFORNIA
2	828755	MEDICARE UPIN	CALIFORNIA
3	00A388990	MEDICAID	CALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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