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MARK MASARU URATA MD DDS
NPI 1235234857
Surgery - Plastic and Reconstructive Surgery in Los Angeles, CA

Active since September 14, 2006PECOS EnrolledAccepts Medicare Assignment
4650 W SUNSET BLVD, LOS ANGELES, CA 90027(888) 631-2452(323) 361-8988 Get Directions Write a Review

NPPES record last updated: December 20, 2018. Verified against the NPPES registry weekly; last sync: September 13, 2026.

Record update history: Dec 20, 2018, May 23, 2018 (2 updates tracked since 2018).

About Mark Masaru Urata Md Dds NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARK MASARU URATA MD DDS (NPI 1235234857) is an individual plastic and reconstructive surgery provider in Los Angeles, California, licensed in California (A64497) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS, maintains a secondary practice location in Los Angeles, and is a graduate of University Of Southern California Keck School Of Medicine (1996).

NPPES Registry Identity

NPI1235234857
Entity TypeIndividualMale
Primary Taxonomy2086S0122X
Provider Legal NameMARK MASARU URATACredential: MD DDS
Location Address4650 W SUNSET BLVDLos Angeles, CA 90027-6062
Mailing AddressPo Box 31309Los Angeles, CA 90031-0309 · (323) 442-7920
Phone(888) 631-2452
Fax(323) 361-8988
Sole ProprietorNo
Medical School CMSUniversity Of Southern California Keck School Of MedicineGraduated 1996
Enumeration DateSeptember 14, 2006
Last NPPES UpdateDecember 20, 20182 updates tracked since enumeration
✔ NPI 1235234857 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgery · Plastic and Reconstructive SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0122X
License✔ Licensed in CA · A64497
Definition
A surgeon who specializes in plastic and reconstructive surgery.
4650 W SUNSET BLVD, Los Angeles, CA 90027
Open in Google Maps ↗

Secondary Practice Location 1

Location 11450 San Pablo St Ste 6200Los Angeles, CA 90033 · Phone (323) 442-7920

Other Identifiers 1

Medicaid00A644970CA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mark Masaru Urata Md Dds is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID446297964
PECOS Enrollment IDI20050414001327
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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.

DR. MARK HENDRIK CORDEN M.D.
Pediatrics
4650 W SUNSET BLVD
LOS ANGELES, CA 90027
Los Angeles County (323) 361-8893
MS. ROBERTA MIYEKO KATO MD
Pediatrics (Pediatric Pulmonology)
4650 W SUNSET BLVD
LOS ANGELES, CA 90027
Los Angeles County (323) 361-2101
CHILDREN'S HOSPITAL LOS ANGELES
General Acute Care Hospital (Children)
4650 W SUNSET BLVD
LOS ANGELES, CA 90027
Los Angeles County (323) 361-3644
JESSICA ELIZABETH GREIM DPT, PT
Physical Therapist (Pediatrics)
4650 W SUNSET BLVD
LOS ANGELES, CA 90027
Los Angeles County (310) 361-2118
MOLLY CEVASCO PH.D., BCBA
Psychologist (Clinical Child & Adolescent)
4650 W SUNSET BLVD, MS #53
LOS ANGELES, CA 90027
Los Angeles County (323) 361-3849
GINNY KIM THAN NP
Nurse Practitioner (Pediatrics)
4650 W SUNSET BLVD, MS #81
LOS ANGELES, CA 90027
Los Angeles County (323) 361-3033
DOUGLAS SHAPIRO MD
Pediatrics (Pediatric Emergency Medicine)
4650 W SUNSET BLVD
LOS ANGELES, CA 90027
Los Angeles County (323) 660-2450
ALEXANDRA LYNN JOSTES MD
Student in an Organized Health Care Education/Training Program
4650 W SUNSET BLVD
LOS ANGELES, CA 90027
Los Angeles County (323) 361-2122

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 Mark Urata's NPI number?

The NPI number for Mark Urata is 1235234857. It was assigned to this individual provider in the NPPES registry on September 14, 2006.

Where is Mark Urata located?

Mark Urata practices at 4650 W Sunset Blvd, Los Angeles, CA 90027. The listed phone number is (888) 631-2452.

What is Mark Urata's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Plastic and Reconstructive Surgery, with taxonomy code 2086S0122X.

Is Mark Urata enrolled in Medicare?

Yes. Mark Urata is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Mark Urata accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas list Mark Urata as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Mark Urata was last updated on December 20, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.