LISA SUSAN MARK
NPI 1851679674
Physician Assistant in Los Angeles, CA
About Lisa Susan Mark NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LISA SUSAN MARK (NPI 1851679674) is an individual physician assistant in Los Angeles, California, licensed in California (PA12333) and active in the NPI registry since July 2011. She is enrolled in Medicare PECOS and is a graduate of Other (1988).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 3
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
Lisa Susan Mark 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 90089 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
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 90089
LOS ANGELES, CA 90089
LOS ANGELES, CA 90089
LOS ANGELES, CA 90089
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 Lisa Mark's NPI number?
The NPI number for Lisa Mark is 1851679674. It was assigned to this individual provider in the NPPES registry on July 27, 2011.
Where is Lisa Mark located?
Lisa Mark practices at 1441 Eastlake Ave Nor 8302E, Los Angeles, CA 90089. The listed phone number is (323) 865-3000.
What is Lisa Mark's specialty?
The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.
Is Lisa Mark enrolled in Medicare?
Yes. Lisa Mark 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 Lisa Mark was last updated on March 8, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.
# Lisa Susan Mark · NPI 1851679674
Physician Assistant physician in Los Angeles, California. Individual provider, active in the CMS NPPES registry since July 27, 2011.
## Identity
- **NPI:** 1851679674 (Entity type: Individual)
- **Enumerated:** July 27, 2011
- **Primary specialty:** Physician Assistant · taxonomy 363A00000X
- **State license:** PA12333 (California)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 1441 EASTLAKE AVE, NOR 8302E, Los Angeles, CA 90089-0112
- **Phone:** (323) 865-3000
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 1988
## Record status
- **NPPES last updated:** March 8, 2016
- **Other identifiers:** Other 1902846306 (CA); Other W18762 (CA); Other GR0100430 (CA)
---
Source: [NPI Profile](https://npiprofile.com/npi/1851679674) · Data from the CMS NPPES public registry.