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MARK VAISMAN MD
NPI 1891976189
General Practice in North Hollywood, CA

Active since November 15, 2007PECOS Enrolled
12660 RIVERSIDE DR, STE 310, NORTH HOLLYWOOD, CA 91607(818) 755-0391(818) 753-8165 Get Directions Write a Review

NPPES record last updated: February 8, 2013. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Mark Vaisman Md NPPES

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

MARK VAISMAN MD (NPI 1891976189) is an individual general practice provider in North Hollywood, California, licensed in California (A38899) and active in the NPI registry since November 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1891976189
Entity TypeIndividualMale
Primary Taxonomy208D00000X
Provider Legal NameMARK VAISMANCredential: MD
Location Address12660 RIVERSIDE DR, STE 310North Hollywood, CA 91607-3429
Mailing Address12660 Riverside Dr, Ste 310North Hollywood, CA 91607-3429 · (818) 755-0391 · Fax (818) 753-8165
Phone(818) 755-0391
Fax(818) 753-8165
Sole ProprietorNo
Enumeration DateNovember 15, 2007
Last NPPES UpdateFebruary 8, 2013
✔ NPI 1891976189 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License✔ Licensed in CA · A38899
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
Also ListedFamily MedicineTaxonomy 207Q00000X · License A38899 (CA)
Also ListedFamily Medicine · Geriatric MedicineTaxonomy 207QG0300X · License A38899 (CA)
Also ListedRadiology · Diagnostic RadiologyTaxonomy 2085R0202X · License A38899 (CA)
Also ListedRadiology · Diagnostic UltrasoundTaxonomy 2085U0001X · License A38899 (CA)
12660 RIVERSIDE DR, North Hollywood, CA 91607
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Other Identifiers 3

Medicare PINA38899CA
Medicare UPIN828755CA
Medicaid00A388990CA

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mark Vaisman Md 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.

Medicare Billing Reassignment

Medicare enrollment records show Mark Vaisman reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Lakeside Medical Organization, A Medical Group Inc.
13 mi
Internal Medicine
8501 FALLBROOK AVE STE 300
West Hills, CA 91304
  • Reassigned Medicare billing, California enrollment
  • 205 clinicians in this Medicare group
NPI 1831426642 (818) 654-3400

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

YAROSLAV A. GOFNUNG, M.D., INC.
Internal Medicine (Endocrinology, Diabetes & Metabolism)
12660 RIVERSIDE DR, SUITE 225
NORTH HOLLYWOOD, CA 91607
Los Angeles County (818) 487-0040
R ROLAND LOPEZ, M.D., INC.
Non-Pharmacy Dispensing Site
12660 RIVERSIDE DR, SUITE 201
NORTH HOLLYWOOD, CA 91607
Los Angeles County (714) 963-9595
JOSEPH R SHAPIRO MD, INC.
Allergy & Immunology
12660 RIVERSIDE DR, SUITE 325
STUDIO CITY, CA 91607
Los Angeles County (818) 769-5998
THESEA CHINN MD MPH INC
Internal Medicine
12660 RIVERSIDE DR, STE 110
NORTH HOLLYWOOD, CA 91607
Los Angeles County (818) 766-2110
NOHA R BARSOUM M.D.
Internal Medicine
12660 RIVERSIDE DR, SUITE 225
NORTH HOLLYWOOD, CA 91607
Los Angeles County (818) 487-0040
JOYCE LEONG NP
Nurse Practitioner (Psychiatric/Mental Health)
12660 RIVERSIDE DR
VALLEY VILLAGE, CA 91607
Los Angeles County (424) 330-0077
ORTHOPEDIC REHABILITATION ASSOCIATES OF SAN FERNANDO VALLEY
Legal Medicine
12660 RIVERSIDE DR, SUITE 201
NORTH HOLLYWOOD, CA 91607
Los Angeles County (818) 769-2101
DR. KAREN I VIRLEY M.D.
Internal Medicine
12660 RIVERSIDE DR, STE 310
N HOLLYWOOD, CA 91607
Los Angeles County (818) 755-0391

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 Vaisman's NPI number?

The NPI number for Mark Vaisman is 1891976189. It was assigned to this individual provider in the NPPES registry on November 15, 2007.

Where is Mark Vaisman located?

Mark Vaisman practices at 12660 Riverside Dr Ste 310, North Hollywood, CA 91607. The listed phone number is (818) 755-0391.

What is Mark Vaisman's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Mark Vaisman enrolled in Medicare?

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

Which organization bills Medicare for Mark Vaisman's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mark Vaisman reassigns Medicare benefits to Lakeside Medical Organization, A Medical Group Inc. (West Hills, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Mark Vaisman's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Mark Vaisman was last updated on February 8, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.