Mark D Nathan, MD

Primary specialty

Interventional Cardiology PhysicianTaxonomy code 207RI0011X

License

G35395 Issued in CA

Practice address

106 La Casa Via
#140
Walnut Creek, CA 94598-3086

Phone

(925) 274-2860

Fax

(925) 932-4527

NPI assigned

Jul 3, 2006

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Yosemite Pathology Medical Group

  • Clinical Medical Laboratory
  • Modesto, CA
  • NPI 1831364140
  NPD (past)
• Yosemite Pathology Medical Group, Inc

  • Anatomic Pathology & Clinical Pathology Physician
  • Modesto, CA
  • NPI 1598760985
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1151884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1277424000000",
    "number": "1013947670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2855 MITCHELL DR",
            "address_2": "#223",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945981600",
            "telephone_number": "925-274-2860",
            "fax_number": "925-932-4527"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 LA CASA VIA",
            "address_2": "#140",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945983086",
            "telephone_number": "925-274-2860",
            "fax_number": "925-932-4527"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NATHAN",
        "first_name": "MARK",
        "middle_name": "D",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-03",
        "last_updated": "2010-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "CA",
            "license": "G35395",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Morad Nasseri, M.D.
• Natalie C Renda MD Inc
• Akshitha Saroj Natarajan
• Kishore Nath, M.D.
• Manjari Nathan, M.D.
• David Nathanson
• National Psychiatric Care and Rehabilitation Services
• Bridget Nava, MSW
• Gloria Navarrete
• Alyssa Navarro

• Interventional Cardiology Physician in Walnut Creek, CA
• Providers in Walnut Creek, CA by specialty
• Interventional Cardiology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.