MR. MARK ALAN LOGAN PMHNP-BC
NPI 1780107433
Nurse Practitioner - Psychiatric/Mental Health in Los Angeles, CA

Q: What is Mark Logan's NPI number?

The NPI number for Mark Logan is 1780107433. It was assigned to this individual provider in the NPPES registry on July 24, 2017.

Q: What is Mark Logan's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Q: When was this NPI record last updated?

The NPPES record for Mark Logan was last updated on March 26, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since July 24, 2017PECOS Enrolled

538 N DETROIT ST, LOS ANGELES, CA 90036(310) 751-1080(844) 941-1989 Get Directions Write a Review

NPPES record last updated: March 26, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 5, 2023, Sep 7, 2023, Oct 24, 2022 and 8 more (11 updates tracked since 2017).

On this page

About Mr. Mark Alan Logan Pmhnp-bc NPPES

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

MR. MARK ALAN LOGAN PMHNP-BC (NPI 1780107433) is an individual psychiatric/mental health provider in Los Angeles, California, licensed in California (95013193) and active in the NPI registry since July 2017. He is enrolled in Medicare PECOS and maintains a secondary practice location in Pasadena.

NPPES Registry Identity

NPI1780107433

Entity TypeIndividualMale

Primary Taxonomy363LP0808X

Provider Legal NameMR. MARK ALAN LOGANCredential: PMHNP-BC

Location Address538 N DETROIT STLos Angeles, CA 90036-1949

Mailing Address538 N Detroit StLos Angeles, CA 90036-1949 · (310) 751-1080 · Fax (844) 941-1989

Phone(310) 751-1080

Fax(844) 941-1989

Sole ProprietorNo

Enumeration DateJuly 24, 2017

Last NPPES UpdateMarch 26, 202411 updates tracked since enumeration

NPPES CertifiedOctober 24, 2023

✔ NPI 1780107433 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

License✔ Licensed in CA · 95013193

538 N DETROIT ST, Los Angeles, CA 90036

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Secondary Practice Location 1

Location 12750 E Washington Blvd Ste 230Pasadena, CA 91107-1449 · Phone (626) 296-8900

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Arizona, Oscar Health Plan, Inc., UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Mark Alan Logan Pmhnp-bc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 90036 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

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LOGAN WELLNESS ADVANCED NURSING PRACTICE CORP

Nurse Practitioner (Psychiatric/Mental Health)

538 N DETROIT ST
LOS ANGELES, CA 90036

Los Angeles County (310) 751-1080

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 Logan's NPI number?

The NPI number for Mark Logan is 1780107433. It was assigned to this individual provider in the NPPES registry on July 24, 2017.

Where is Mark Logan located?

Mark Logan practices at 538 N Detroit St, Los Angeles, CA 90036. The listed phone number is (310) 751-1080.

What is Mark Logan's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Mark Logan enrolled in Medicare?

Yes. Mark Logan is registered in the Medicare PECOS enrollment system.

What insurance does Mark Logan accept?

Health plans from Blue Cross Blue Shield of Arizona, Oscar Health Plan, Inc. and UnitedHealthcare list Mark Logan 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 Logan was last updated on March 26, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.