RUSSYAN MARK MABEZA MPH
NPI 1790482552
Student in an Organized Health Care Education/Training Program in Los Angeles, CA
About Russyan Mark Mabeza Mph NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
RUSSYAN MARK MABEZA MPH (NPI 1790482552) is an individual student in an organized health care education/training program in Los Angeles, California and active in the NPI registry since February 2023. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Russyan Mark Mabeza Mph is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
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.
LOS ANGELES, CA 90095
LOS ANGELES, CA 90095
LOS ANGELES, CA 90095
LOS ANGELES, CA 90095
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 Russyan Mark Mabeza's NPI number?
The NPI number for Russyan Mark Mabeza is 1790482552. It was assigned to this individual provider in the NPPES registry on February 13, 2023.
Where is Russyan Mark Mabeza located?
Russyan Mark Mabeza practices at 10833 Le Conte Ave, Los Angeles, CA 90095. The listed phone number is (424) 248-8592.
What is Russyan Mark Mabeza's specialty?
The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.
Is Russyan Mark Mabeza enrolled in Medicare?
Yes. Russyan Mark Mabeza is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Russyan Mark Mabeza was last updated on February 13, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Russyan Mark Mabeza, MPH · NPI 1790482552
Student in an Organized Health Care Education/Training Program provider in Los Angeles, California. Individual provider, active in the CMS NPPES registry since February 13, 2023.
## Identity
- **NPI:** 1790482552 (Entity type: Individual)
- **Enumerated:** February 13, 2023
- **Primary specialty:** Student in an Organized Health Care Education/Training Program · taxonomy 390200000X
- **Sole proprietor:** Yes
## Practice location
- **Address:** 10833 LE CONTE AVE, Los Angeles, CA 90095-3075
- **Phone:** (424) 248-8592
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for durable medical equipment, power mobility devices
## Record status
- **NPPES last updated:** February 13, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1790482552) · Data from the CMS NPPES public registry.