Active NPI
Mark R. Katz, MD
- Psychiatry Physician
- Del Mar, CA
National Provider Identifier
1053469981
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- G39639
- Practice address
- 12845 Pointe del Mar Way
Suite 200
Del Mar, CA 92014-3862 - Phone
- (858) 259-0599
- Fax
- (858) 794-7218
- NPI assigned
- Jan 8, 2007
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | G39639 | CA | Primary |
Addresses
Primary practice location
12845 Pointe del Mar Way
Suite 200
Del Mar, CA 92014-3862
Mailing address
12845 Pointe del Mar Way
Suite 200
Del Mar, CA 92014-3862
Phone (858) 259-0599
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 Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G39639 | CA | MD | Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168214400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1258416000000",
"number": "1053469981",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12845 POINTE DEL MAR WAY",
"address_2": "SUITE 200",
"city": "DEL MAR",
"state": "CA",
"postal_code": "920143862",
"telephone_number": "858-259-0599",
"fax_number": "858-794-7218"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12845 POINTE DEL MAR WAY",
"address_2": "SUITE 200",
"city": "DEL MAR",
"state": "CA",
"postal_code": "920143862",
"telephone_number": "858-259-0599",
"fax_number": "858-794-7218"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KATZ",
"first_name": "MARK",
"middle_name": "R.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-08",
"last_updated": "2009-11-17",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "CA",
"license": "G39639",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Del Mar, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 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.