Individual provider Active NPI

Mark Rechnic, MD

  • Orthopaedic Hand Surgery Physician
  • La Jolla, CA
National Provider Identifier
1114060126
Registry record updated Jul 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Hand Surgery PhysicianTaxonomy code 207XS0106X
License
G42815 Issued in CA
Practice address
7300 Girard Ave
Ste 204
La Jolla, CA 92037-5138
Phone
(858) 587-9970
Fax
(858) 587-2867
NPI assigned
Feb 15, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 29, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Hand Surgery Physician 207XS0106X G42815 CA Primary
Plastic Surgery Physician 208200000X G42815 CA

Addresses

Primary practice location

7300 Girard Ave
Ste 204
La Jolla, CA 92037-5138

Mailing address

7300 Girard Ave
Ste 204
La Jolla, CA 92037-5138
Phone (858) 587-9970

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

LicenseStateTypeSpecialty
42815CAMDGeneral Practice Dentistry
G42815CAMDPlastic Surgery Physician

NPI Registry JSON

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

{
    "created_epoch": "1171497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1217289600000",
    "number": "1114060126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7300 GIRARD AVE",
            "address_2": "STE 204",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "920375138",
            "telephone_number": "858-587-9970",
            "fax_number": "858-587-2867"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7300 GIRARD AVE",
            "address_2": "STE 204",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "920375138",
            "telephone_number": "858-587-9970",
            "fax_number": "858-587-2867"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RECHNIC",
        "first_name": "MARK",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-15",
        "last_updated": "2008-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XS0106X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Hand Surgery",
            "state": "CA",
            "license": "G42815",
            "primary": true
        },
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "CA",
            "license": "G42815",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Jolla, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2008; 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.