Dr Mark Jonathan Landau, MD, PHD is a medicare enrolled "Plastic Surgery" physician in Fontana, California. His current practice location is
9985 Sierra Ave, Fontana, California. You can reach out to his office (for appointments etc.) via phone at
(833) 574-2273.
Dr Mark Jonathan Landau is licensed to practice in California (license number A177121) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1043875099.
Physician's Profile
| Full Name | Dr Mark Jonathan Landau |
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| Gender | Male |
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| Speciality | Plastic Surgery |
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| Location | 9985 Sierra Ave, Fontana, California |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1043875099
- Provider Enumeration Date: 05/06/2019
- Last Update Date: 08/03/2026
Medicare PECOS Information:
- PECOS PAC ID: 4880197953
- Enrollment ID: I20250912004142
Medical Identifiers
Medical identifiers for Dr Mark Jonathan Landau such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1043875099 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 208200000X | Plastic Surgery | A177121 (California) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Mark Jonathan Landau is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Dr Mark Jonathan Landau, MD, PHD 9985 Sierra Ave, Fontana, CA 92335-6720 Ph: Not Available | Dr Mark Jonathan Landau, MD, PHD 9985 Sierra Ave, Fontana, CA 92335-6720 Ph: (833) 574-2273 |
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