Individual provider Active NPI

Mark S Zaremba, MD

  • Cardiovascular Disease Physician
  • Laguna Hills, CA
National Provider Identifier
1023094273
Registry record updated Aug 30, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
G38301 Issued in CA
Practice address
25401 Cabot Rd
Suite 107
Laguna Hills, CA 92653-5513
Phone
(949) 273-8085
Fax
(949) 273-8088
NPI assigned
Dec 20, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 30, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X G38301 CA
Cardiovascular Disease Physician 207RC0000X G38301 CA Primary

Addresses

Primary practice location

25401 Cabot Rd
Suite 107
Laguna Hills, CA 92653-5513

Mailing address

25401 Cabot Rd
Suite 107
Laguna Hills, CA 92653-5524
Phone (949) 273-8085

Other identifiers 2

IdentifierTypeStateIssuer
OOG383010MedicaidCA
1023094273OtherCANPI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041222000525 CA Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 7113985169 Reassigns benefits to 1 organization
Practice locations: Laguna Hills, CA

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
Boston University School of Medicine, 1975
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

25401 Cabot Rd
Suite 107
Laguna Hills, CA 92653-5513
Phone (949) 273-8085

Hospital & facility affiliations

  • Providence Mission Hospital Hospital, Mission Viejo, CA, CCN 050567
  • Memorialcare Saddleback Medical Center Hospital, Laguna Hills, CA, CCN 050603

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
G38301CAMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pacific Private Practice Network Inc Internal Medicine CurrentSince Jul 8, 2017 Accepting new patients
Mission Hospital Regional Medical Center Past Accepting new patients
Saddleback Memorial Medical Center Past Accepting new patients
Orange County Global Medical Center, Inc Past Accepting new patients
MD Solutions Medical Corp Past Accepting new patients

Locations

25401 Cabot Rd
Ste 107
Laguna Hills, CA 92653
Phone (949) 273-8085

30230 Rancho Viejo Rd
Ste 110
San Juan Capo, CA 92675
Phone (949) 441-5681

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 5

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1135036800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1283126400000",
    "number": "1023094273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25401 CABOT RD",
            "address_2": "SUITE 107",
            "city": "LAGUNA HILLS",
            "state": "CA",
            "postal_code": "926535524",
            "telephone_number": "949-273-8085",
            "fax_number": "949-273-8088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25401 CABOT RD",
            "address_2": "SUITE 107",
            "city": "LAGUNA HILLS",
            "state": "CA",
            "postal_code": "926535513",
            "telephone_number": "949-273-8085",
            "fax_number": "949-273-8088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZAREMBA",
        "first_name": "MARK",
        "middle_name": "S",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-12-20",
        "last_updated": "2010-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "G38301",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "CA",
            "license": "G38301",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "OOG383010",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1023094273",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Laguna Hills, CA

Sources for this page

Verify at the official NPI Registry.