Individual provider Active NPI

Mark Alan Fierro, M.D.

  • Obstetrics & Gynecology Physician
  • Los Gatos, CA
National Provider Identifier
1114155496
Registry record updated Aug 11, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
A124997 Issued in CA
Practice address
15251 National Ave
Suite 106
Los Gatos, CA 95032-2400
Phone
(408) 356-5111
Fax
(408) 356-0654
NPI assigned
Jun 25, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 2009015668 MO
Obstetrics & Gynecology Physician 207V00000X A124997 CA Primary

Addresses

Primary practice location

15251 National Ave
Suite 106
Los Gatos, CA 95032-2400

Mailing address

15251 National Ave
Suite 106
Los Gatos, CA 95032-2400
Phone (408) 356-5111

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230720000923 CA Practitioner - Obstetrics/Gynecology 5496115511 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Saint Louis University School of Medicine, 2009
Medicare assignment
May accept Medicare assignment
Group practices

Practice addresses (Care Compare)

2425 Samaritan Dr
San Jose, CA 95124-3908
Phone 80024338397746

Hospital & facility affiliations

  • Good Samaritan Hospital Hospital, San Jose, CA, CCN 050380

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A124997CAMDObstetrics & Gynecology Physician
2009015668MOMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Obstetrix Medical Group of California, a Professional Corporation Obstetrics & Gynecology CurrentSince Jun 1, 2023 Accepting new patients

Locations

File 50978
Los Angeles, CA 90074

2500 Grant Rd
Mountain View, CA 94040
Phone (650) 903-9500

450 E Romie Ln
Salinas, CA 93901
Phone (831) 372-7844

2425 Samaritan Dr
San Jose, CA 95124
Phone (408) 354-2114

Organizations & group practices 2

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1245888000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1376179200000",
    "number": "1114155496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15251 NATIONAL AVE",
            "address_2": "SUITE 106",
            "city": "LOS GATOS",
            "state": "CA",
            "postal_code": "950322400",
            "telephone_number": "408-356-5111",
            "fax_number": "408-356-0654"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15251 NATIONAL AVE",
            "address_2": "SUITE 106",
            "city": "LOS GATOS",
            "state": "CA",
            "postal_code": "950322400",
            "telephone_number": "408-356-5111",
            "fax_number": "408-356-0654"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FIERRO",
        "first_name": "MARK",
        "middle_name": "ALAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-06-25",
        "last_updated": "2013-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "MO",
            "license": "2009015668",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "CA",
            "license": "A124997",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Gatos, CA

Sources for this page

Verify at the official NPI Registry.