| Mark W Deseran, MD | |
|
3630 E. Imperial Hwy, Lynwood, CA 90262 | |
| (310) 900-2768 | |
| (310) 900-8852 |
| Full Name | Mark W Deseran |
|---|---|
| Gender | Male |
| Speciality | Diagnostic Radiology |
| Experience | 37 Years |
| Location | 3630 E. Imperial Hwy, Lynwood, California |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730126467 | NPI | - | NPPES |
| 00G673760 | Other | CA | BLUE SHIELD OF CA |
| 00G673760 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | G67376 (California) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Adventist Health Bakersfield | Bakersfield, CA | Hospital |
| Adventist Health Hanford | Hanford, CA | Hospital |
| Adventist Health St Helena | Saint helena, CA | Hospital |
| Adventist Health Ukiah Valley | Ukiah, CA | Hospital |
| Adventist Health And Rideout | Marysville, CA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Adventist Health Delano | 1254248016 | 36 |
| Adventist Health Medical Center Tehachapi | 1456646629 | 64 |
| San Joaquin Community Hospital | 1557390580 | 78 |
| Advanced Radiology And Interventional Associates Inc | 2163816448 | 77 |
| Adventist Health Mendocino Coast | 3678990769 | 48 |
| Adventist Health Tulare | 4385988757 | 42 |
| Ukiah Adventist Hospital | 6406816123 | 109 |
| Hanford Community Hospital | 7416868377 | 56 |
| Willits Hospital Inc | 7416940697 | 55 |
| St. Helena Hospital | 8729059878 | 70 |
| Rideout Memorial Hospital | 9234036088 | 84 |
| Entity Name | Adventist Health Delano |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1578798047 PECOS PAC ID: 1254248016 Enrollment ID: O20040303000739 |
| Entity Name | Hanford Community Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1538141627 PECOS PAC ID: 7416868377 Enrollment ID: O20040325000272 |
| Entity Name | Willits Hospital Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1356339543 PECOS PAC ID: 7416940697 Enrollment ID: O20040405000843 |
| Entity Name | Rideout Memorial Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1720088354 PECOS PAC ID: 9234036088 Enrollment ID: O20040610000983 |
| Entity Name | Arcadia Radiology Medical Group A Professional Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1841228764 PECOS PAC ID: 9537134184 Enrollment ID: O20040827000915 |
| Entity Name | Ukiah Adventist Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1235120676 PECOS PAC ID: 6406816123 Enrollment ID: O20041015000818 |
| Entity Name | St Francis Radiology Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1215085618 PECOS PAC ID: 7113953159 Enrollment ID: O20050712000380 |
| Entity Name | San Joaquin Community Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1538157508 PECOS PAC ID: 1557390580 Enrollment ID: O20050810000537 |
| Entity Name | Adventist Health Medical Center Tehachapi |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1275538530 PECOS PAC ID: 1456646629 Enrollment ID: O20170124000729 |
| Entity Name | Adventist Health Tulare |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1801366711 PECOS PAC ID: 4385988757 Enrollment ID: O20201221001163 |
| Entity Name | Reedley Community Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1336167550 PECOS PAC ID: 0941460984 Enrollment ID: O20201224000078 |
| Entity Name | Advanced Radiology And Interventional Associates Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669123626 PECOS PAC ID: 2163816448 Enrollment ID: O20220302002290 |
| Entity Name | Adventist Health Mendocino Coast |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1538113725 PECOS PAC ID: 3678990769 Enrollment ID: O20220620001667 |
| Mailing Address | Practice Location Address |
|---|---|
| Mark W Deseran, MD 3630 E. Imperial Hwy, Lynwood, CA 90262 Ph: (310) 900-2768 | Mark W Deseran, MD 3630 E. Imperial Hwy, Lynwood, CA 90262 Ph: (310) 900-2768 |
Daniel H Schimmel, MD Radiology Medicare: Medicare Enrolled Practice Location: 3630 East Imperial Hwy, Lynwood, CA 90262 Phone: 310-900-8852 | |
Dr. Robert Martin Zeit, M.D. Radiology Medicare: Medicare Enrolled Practice Location: 3737 Martin Luther King Jr Blvd, Suite 104, Lynwood, CA 90262 Phone: 310-667-4999 Fax: 310-667-4998 | |
Dr. Daljit Soni, M.D Radiology Medicare: Accepting Medicare Assignments Practice Location: 3630 E Imperial Hwy, Lynwood, CA 90262 Phone: 310-900-2760 Fax: 310-635-0763 | |
Jason H Deutsch, MD Radiology Medicare: Medicare Enrolled Practice Location: 3630 E Imperial Hwy, Lynwood, CA 90262 Phone: 310-900-2768 Fax: 310-900-8852 | |
Stanley L Jones, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 3630 Imperial Hwy, Lynwood, CA 90262 Phone: 310-900-8852 | |
Albert K Szeto, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 3630 East Imperial Hwy, Lynwood, CA 90262 Phone: 310-900-8852 |