Active NPI
Mark Allen Tapscott, D.O.
- Specialist
- San Diego, CA
National Provider Identifier
1003831041
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 20A5472
- Practice address
- 5555 Reservoir Dr
Suite 203
San Diego, CA 92120-5134 - Phone
- (619) 287-2590
- Fax
- (619) 287-2913
- NPI assigned
- Jul 12, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 20A5472 | CA | Primary |
Addresses
Primary practice location
5555 Reservoir Dr
Suite 203
San Diego, CA 92120-5134
Mailing address
5555 Reservoir Dr
Suite 203
San Diego, CA 92120-5134
Phone (619) 287-2590
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00AX54720 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20A5472 | CA | MD | Specialist |
| 5472 | CA | MD | Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152662400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1248134400000",
"number": "1003831041",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5555 RESERVOIR DR",
"address_2": "SUITE 203",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921205134",
"telephone_number": "619-287-2590",
"fax_number": "619-287-2913"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5555 RESERVOIR DR",
"address_2": "SUITE 203",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921205134",
"telephone_number": "619-287-2590",
"fax_number": "619-287-2913"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TAPSCOTT",
"first_name": "MARK",
"middle_name": "ALLEN",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-12",
"last_updated": "2009-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "CA",
"license": "20A5472",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00AX54720",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.