MARY JO FORD MD NPI 1700951142

NPI Information

  • NPI: 1700951142
  • Provider Name: MARY JO FORD, MD
  • Classification: Specialist - 174400000X
  • Entity Type: Individual
  • Address: 555 PIER AVENUE
    SUITE 1
    HERMOSA BEACH, CA
    ZIP 90254
  • Phone: (310) 374-4100

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NPI Details

Mary Jo Ford, MD is a specialist in Hermosa Beach, CA. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. Mary Jo Ford, MD NPI is 1700951142. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

555 PIER AVENUE
SUITE 1
HERMOSA BEACH, CA
ZIP 90254-800
Phone: (310) 374-4100
Fax: (310) 374-4111

The enumeration date for this NPI number is 11/21/2006 and was last updated on 11/9/2007.

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
1174400000XSpecialistG73858CALIFORNIAYes

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 Other Provider Identifier Issuer
1E95002MEDICARE UPINCALIFORNIA
2WG73858MMEDICARE UPINCALIFORNIA
300G738580MEDICAIDCALIFORNIA

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: 11/21/2025

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