Mark Clifton Ottoson, N.P.

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

429620 Issued in CA

Practice address

1370 Railroad Ave
Saint Helena, CA 94574-1124

Phone

(707) 963-4399

Fax

(707) 963-4796

NPI assigned

Apr 23, 2011

Last updated

Apr 23, 2011By the provider in NPPES

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)

Not enrolled

Credentials

Nurse Practitioner

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Norman Wall DO Inc.

  • Primary Care Clinic/Center
  • Saint Helena, CA
  • NPI 1467687236
  NPD (past)

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

{
    "created_epoch": "1303516800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1303516800000",
    "number": "1083905103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "683 CUNARD DR",
            "city": "NAPA",
            "state": "CA",
            "postal_code": "945583628",
            "telephone_number": "707-259-1410",
            "fax_number": "707-963-4796"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1370 RAILROAD AVE",
            "city": "SAINT HELENA",
            "state": "CA",
            "postal_code": "945741124",
            "telephone_number": "707-963-4399",
            "fax_number": "707-963-4796"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OTTOSON",
        "first_name": "MARK",
        "middle_name": "CLIFTON",
        "name_prefix": "Mr.",
        "credential": "N.P.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-04-23",
        "last_updated": "2011-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "429620",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bradley Benjamin Nichinson, M.D.
• Norman Wall DO Inc.
• Margaret Mary O'Connor, GNP-BC
• Ole Health
• Puja P Orozco, PA-C
• Pacific Radiation Oncology, Inc
• Martin T Paukert, MD
• Heather Maria Pena, MD
• Julie M Perry, MD
• Calvin Pham

• Family Nurse Practitioner in Saint Helena, CA
• Providers in Saint Helena, CA by specialty
• Family Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2011; 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.