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

Mark W Deseran, MD

Individual provider Diagnostic Radiology Physician · NPI 1730126467

Mark W Deseran, MD is a Diagnostic Radiology in Lynwood, California. Graduated from University of Southern California Keck School of Medicine in 1988, 38 years ago. Practices with Willits Hospital Inc, a 67-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
38
Trained at
University of Southern California Keck School of Medicine
Licensed in
CA
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

3630 E Imperial Hwy
Lynwood, CA 90262
Phone: (310) 900-2768
Fax: (310) 900-8852
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence G67376 (CA)

Record details

NPI number1730126467
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 1, 2006
Last updated in NPPESApril 15, 2011
Mailing address3630 E. Imperial Hwy, Lynwood, CA 90262

Medicare enrollment

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

Medicare specialtyDIAGNOSTIC RADIOLOGY
Medical schoolUNIVERSITY OF SOUTHERN CALIFORNIA KECK SCHOOL OF MEDICINE
Graduated 1988 (38 years in practice)
Group practice Willits Hospital Inc — 67 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations19 on file with Medicare

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