Mark H Barak MD

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

Legal business name

MARK H BARAK MD

Practice address

1911 Foothill Blvd
La Verne, CA 91750-3511

Phone

(909) 596-5900

Fax

(909) 596-1655

NPI assigned

Oct 11, 2025

Organization subpart

No

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

Authorized official

Name

Diana Ceballos

Title

Management

Phone

(909) 596-5900

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mark H Barak, MD

  • Ophthalmology Physician
  • La Verne, CA
  • NPI 1467594838
  NPD

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

{
    "created_epoch": "1760140800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1760140800000",
    "number": "1053287755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1911 FOOTHILL BLVD",
            "city": "LA VERNE",
            "state": "CA",
            "postal_code": "917503511",
            "telephone_number": "909-596-5900",
            "fax_number": "909-596-1655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1911 FOOTHILL BLVD",
            "city": "LA VERNE",
            "state": "CA",
            "postal_code": "917503511",
            "telephone_number": "909-596-5900",
            "fax_number": "909-596-1655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK H BARAK MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-10-11",
        "last_updated": "2025-10-11",
        "certification_date": "2025-10-11",
        "status": "A",
        "authorized_official_last_name": "CEBALLOS",
        "authorized_official_first_name": "DIANA",
        "authorized_official_title_or_position": "MANAGEMENT",
        "authorized_official_telephone_number": "909-596-5900"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Casey Mamora, OTR/L
• Sadiq Mandilawi, MD
• Jessica Andrea Marca, MSW
• Mallory Kai Marin
• Deanne Marino, LCSW
• Briana Marie Marquez
• Wendy P Marrufo, PT, DPT
• Nathan L. Martel
• Alyssa Marie Martinez
• Antonia Martinez

• Ophthalmology Physician in La Verne, CA
• Providers in La Verne, CA by specialty
• Ophthalmology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2025; 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.