Mark Leland Kadden, M.D.

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

License

G57198 Issued in CA

Practice address

225 E 2ND Ave
Suite 340
Escondido, CA 92025-4245

Phone

(760) 489-0908

Fax

(760) 489-0962

NPI assigned

Mar 16, 2006

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

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Arch Health Partners, Inc

  • Family Medicine Physician
  • Poway, CA
  • NPI 1649500141
  Medicare reassignment NPD
• Arch Health Partners

  • Family Medicine Physician
  • San Diego, CA
  • NPI 1568870657
  NPD

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

{
    "created_epoch": "1142467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708041600000",
    "number": "1093784597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 CRAVEN RD STE 201",
            "city": "SAN MARCOS",
            "state": "CA",
            "postal_code": "920784237",
            "telephone_number": "760-291-6650",
            "fax_number": "760-737-3430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 E 2ND AVE",
            "address_2": "SUITE 340",
            "city": "ESCONDIDO",
            "state": "CA",
            "postal_code": "920254245",
            "telephone_number": "760-489-0908",
            "fax_number": "760-489-0962"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KADDEN",
        "first_name": "MARK",
        "middle_name": "LELAND",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-16",
        "last_updated": "2024-02-16",
        "certification_date": "2024-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "CA",
            "license": "G57198",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G571980",
            "state": "CA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mark.kaddenmd.p1@direct.graybill.nextgenshare.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "225 E 2nd Ave",
            "address_2": "Suite 340",
            "city": "Escondido",
            "state": "CA",
            "country_code": "US",
            "postal_code": "920254245",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Jungman & Kangas DDS Inc
• Nicolaus Richard Kangas Jungman, DDS
• Robert Jungman, DDS
• William R Jungman, D.D.S.
• Russell Scott Kaczmar, PT, DPT
• Yale Mitchell Kadesky, M.D.
• Prabhpreet S Kaila, D.D.S.
• Kaiser Foundation Health Plan Inc
• Sarah Kalina, OTR
• Andysheh Kamgar-Parsi

• Gastroenterology Physician in Escondido, CA
• Providers in Escondido, CA by specialty
• Gastroenterology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.