DR. MARKO MICHAEL MAMIC D.O.
NPI 1104197565
Emergency Medicine in Colton, CA
About Dr. Marko Michael Mamic D.o. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. MARKO MICHAEL MAMIC D.O. (NPI 1104197565) is an individual emergency medicine provider in Colton, California, licensed in California (20A12620) and active in the NPI registry since January 2012. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Marko Michael Mamic D.o. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
6Medicare enrollment records show Marko Mamic reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Colton, CA 92324
- Reassigned Medicare billing, California enrollment
- Also billed through NPI 1740235258 (California)
- 2,323 clinicians in this Medicare group
Rancho Cucamonga, CA 91730
- Reassigned Medicare billing, California enrollment
- 840 clinicians in this Medicare group
Montclair, CA 91763
- Reassigned Medicare billing, California enrollment
- 98 clinicians in this Medicare group
Tustin, CA 92780
- Reassigned Medicare billing, California enrollment
- 2,052 clinicians in this Medicare group
Los Angeles, CA 90059
- Reassigned Medicare billing, California enrollment
- 63 clinicians in this Medicare group
Los Angeles, CA 90059
- Reassigned Medicare billing, California enrollment
- 67 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 7
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 92324 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
COLTON, CA 92324
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Marko Mamic's NPI number?
The NPI number for Marko Mamic is 1104197565. It was assigned to this individual provider in the NPPES registry on January 17, 2012.
Where is Marko Mamic located?
Marko Mamic practices at 400 N Pepper Ave, Colton, CA 92324. The listed phone number is (909) 580-1000.
What is Marko Mamic's specialty?
The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.
Is Marko Mamic enrolled in Medicare?
Yes. Marko Mamic is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Marko Mamic's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Marko Mamic reassigns Medicare benefits to 6 organizations: Cep America - California (Colton, CA), Pih Health Physicians (Rancho Cucamonga, CA), Montclair Emergency Medical Associates (Montclair, CA), Healthcare Partners Affiliates Medical Group (Tustin, CA), Capital Hospitalist Medical Group Inc (Los Angeles, CA) and 1 more organization, listed in the Medicare section above. Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Marko Mamic's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Marko Mamic was last updated on May 7, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Dr. Marko Michael Mamic, D.O. · NPI 1104197565
Emergency Medicine physician in Colton, California. Individual provider, active in the CMS NPPES registry since January 17, 2012.
## Identity
- **NPI:** 1104197565 (Entity type: Individual)
- **Enumerated:** January 17, 2012
- **Primary specialty:** Emergency Medicine · taxonomy 207P00000X
- **State license:** 20A12620 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 400 N PEPPER AVE, Colton, CA 92324-1801
- **Phone:** (909) 580-1000
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 6 organizations under Medicare reassignment (form CMS-855R): Cep America - California (NPI 1306899166, Colton, CA); Pih Health Physicians (NPI 1225798127, Rancho Cucamonga, CA); Montclair Emergency Medical Associates (NPI 1316044696, Montclair, CA); Healthcare Partners Affiliates Medical Group (NPI 1891981502, Tustin, CA); Capital Hospitalist Medical Group Inc (NPI 1992178222, Los Angeles, CA); and 1 more · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** May 7, 2014
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Source: [NPI Profile](https://npiprofile.com/npi/1104197565) · Data from the CMS NPPES public registry.