Mark Melden, DO

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

20A7900 Issued in CA

Legal business name

MARK MELDEN, DO

Practice address

158 C Ave
Coronado, CA 92118-1420

Phone

(619) 435-5400

Fax

(619) 435-5401

NPI assigned

Oct 4, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Mark Melden, DO

Title

Owner

Phone

(619) 435-5400

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1191456000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213142400000",
    "number": "1033307905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "158 C AVE",
            "city": "CORONADO",
            "state": "CA",
            "postal_code": "921181420",
            "telephone_number": "619-435-5400",
            "fax_number": "619-435-5401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "158 C AVE",
            "city": "CORONADO",
            "state": "CA",
            "postal_code": "921181420",
            "telephone_number": "619-435-5400",
            "fax_number": "619-435-5401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK MELDEN, DO",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-04",
        "last_updated": "2008-06-11",
        "status": "A",
        "authorized_official_last_name": "MELDEN",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "619-435-5400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "20A7900",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00AX79000",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Mark M Scheurer MD PC
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• Martha Elva Morett DDS Inc. (Martha E. Morett)
• Uriel Martinez Zavalsa
• Matilde Venero MD a Professional Corporation
• Caitlin McGowan, PA

• Psychiatry Physician in Coronado, CA
• Providers in Coronado, CA by specialty
• Psychiatry Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2008; 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.