DR. MARK WILLIAM RALPH MD
NPI 1730600388
Family Medicine in Los Angeles, CA

Active since July 05, 2017PECOS EnrolledAccepts Medicare Assignment
808 W 58TH ST, LOS ANGELES, CA 90037(323) 541-1411 Get Directions Write a Review

NPPES record last updated: August 12, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 12, 2020, Jul 5, 2017 (2 updates tracked since 2017).

About Dr. Mark William Ralph Md NPPES

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

DR. MARK WILLIAM RALPH MD (NPI 1730600388) is an individual family medicine provider in Los Angeles, California, licensed in California (169633) and active in the NPI registry since July 2017. He is enrolled in Medicare PECOS, maintains a secondary practice location in Grand Blanc, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1730600388
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. MARK WILLIAM RALPHCredential: MD
Location Address808 W 58TH STLos Angeles, CA 90037-3632
Mailing Address808 W 58th StLos Angeles, CA 90037-3632
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateJuly 5, 2017
Last NPPES UpdateAugust 12, 20202 updates tracked since enumeration
NPPES CertifiedAugust 12, 2020
NPI 1730600388 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses Licensed in CA · 169633 Licensed in MI · 4301113221
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
808 W 58TH ST, Los Angeles, CA 90037

Secondary Practice Location 1

Location 11 Genesys PkwyGrand Blanc, MI 48439-8065 · Phone (810) 606-5126

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

Dr. Mark William Ralph Md 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 ID9638440704
PECOS Enrollment IDI20210526001939
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90037 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

Nurse Practitioner (Women's Health)
808 W 58TH ST
LOS ANGELES, CA 90037
Nurse Practitioner (Family)
808 W 58TH ST
LOS ANGELES, CA 90037
Nurse Practitioner (Family)
808 W 58TH ST
LOS ANGELES, CA 90037
Dentist (Orofacial Pain)
808 W 58TH ST
LOS ANGELES, CA 90037
Internal Medicine (Infectious Disease)
808 W 58TH ST
LOS ANGELES, CA 90037
Pediatrics
808 W 58TH ST
LOS ANGELES, CA 90037
Nurse Practitioner (Family)
808 W 58TH ST
LOS ANGELES, CA 90037
Dentist (Pediatric Dentistry)
808 W 58TH ST
LOS ANGELES, CA 90037

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 Ralph's NPI number?

The NPI number for Mark Ralph is 1730600388. It was assigned to this individual provider in the NPPES registry on July 5, 2017.

Where is Mark Ralph located?

Mark Ralph practices at 808 W 58th St, Los Angeles, CA 90037. The listed phone number is (323) 541-1411.

What is Mark Ralph's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Mark Ralph enrolled in Medicare?

Yes. Mark Ralph 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.

When was this NPI record last updated?

The NPPES record for Mark Ralph was last updated on August 12, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.