Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Mark Needham, MD

Individual provider Family Medicine Physician · NPI 1578590659

Dr. Mark Needham, MD is a Family Practice in Santa Monica, California. Graduated from Clvlnd Clinic Lerner College of Med of Case Wstn Rsv University in 1981, 45 years ago. Practices with Providence Saint Johns Medical Foundation, a 285-clinician group, accepts Medicare assignment and offers telehealth. Licensed in California.

Years since qualifying
45
Trained at
Clvlnd Clinic Lerner College of Med of Case Wstn Rsv University
Licensed in
CA
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

901 Wilshire Blvd Fl 3
Santa Monica, CA 90401-1854
Phone: (310) 315-7900
Fax: (310) 829-8903
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence G48491 (CA)

Record details

NPI number1578590659
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 26, 2006
Last updated in NPPESApril 19, 2021
Certification dateApril 19, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolCLVLND CLINIC LERNER COLLEGE OF MED OF CASE WSTN RSV UNIVERSITY
Graduated 1981 (45 years in practice)
Group practice Providence Saint Johns Medical Foundation — 285 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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