Active NPI
Mark Vanhouten, MD
- Neurology Physician
- Irvine, CA
National Provider Identifier
1093731937
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- G56232
- Practice address
- 14150 Culver Dr
Suite 307
Irvine, CA 92604-0315 - Phone
- (949) 548-4111
- Fax
- (949) 548-9664
- NPI assigned
- Jul 14, 2006
- 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 |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | G56232 | CA | Primary |
Addresses
Primary practice location
14150 Culver Dr
Suite 307
Irvine, CA 92604-0315
Mailing address
14150 Culver Dr
Suite 307
Irvine, CA 92604-0315
Phone (949) 548-4111
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 |
|---|---|---|---|
| G56232 | CA | MD | Neurology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152835200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1401926400000",
"number": "1093731937",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14150 CULVER DR",
"address_2": "SUITE 307",
"city": "IRVINE",
"state": "CA",
"postal_code": "926040315",
"telephone_number": "949-548-4111",
"fax_number": "949-548-9664"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14150 CULVER DR",
"address_2": "SUITE 307",
"city": "IRVINE",
"state": "CA",
"postal_code": "926040315",
"telephone_number": "949-548-4111",
"fax_number": "949-548-9664"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VANHOUTEN",
"first_name": "MARK",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-14",
"last_updated": "2014-06-05",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "CA",
"license": "G56232",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Irvine, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.